Individual
DR. CRAIG N. AMBROSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M4939
ID
208000000X
Pediatrics Physician
Primary
MD00040671
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002383700
—
ID
05
—
8600348
—
WA
Enumeration date
05/26/2006
Last updated
03/08/2016
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