Organization
CITY OF CRAIG, INC.
Active
Other names
Craig Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C THOMAS M.D. (ADMINISTRATOR)
(907) 826-3257
Entity
Organization
Contact information
Practice address
506 3RD ST., CRAIG, AK 99921
(907) 826-3257
(907) 826-3259
Mailing address
PO BOX 656, CRAIG, AK 99921-0656
(907) 826-3257
(907) 826-3259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
710680
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K151640
MEDICARE PTAN
AK
Enumeration date
08/04/2009
Last updated
08/04/2009
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