Individual
CRAIG CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 S WESTERN AVE, TONASKET, WA 98855-9270
(509) 486-2174
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207283
L&I
WA
05
—
8448110
—
WA
Enumeration date
07/06/2006
Last updated
06/24/2013
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