Individual
CRAIG S HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 S MEDICAL DR, MT PLEASANT, UT 84647-2222
(435) 462-2441
(435) 462-2609
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 357-7475
(801) 357-7997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1018291206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807932900
—
ID
Enumeration date
05/23/2006
Last updated
09/30/2008
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