Individual
JOHN R. CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E. VALENICA MESA DRIVE, FULLERTON, CA 92835
(714) 992-3757
(714) 992-3055
Mailing address
PO BOX 749241, LOS ANGELES, CA 90074-9241
(714) 992-3907
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A24595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A2459500
—
CA
Enumeration date
05/17/2006
Last updated
02/06/2009
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