Individual
BRUCE L CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FAAFP
Contact information
Practice address
3819 PATTERSON ST, POLLOCK, LA 71467
(318) 765-3750
Mailing address
124 RED OAK LOOP, POLLOCK, LA 71467-4341
(318) 765-9020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010051840
RAILROAD MEDICARE
—
05
—
1162736
—
LA
Enumeration date
09/06/2005
Last updated
12/08/2009
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