Individual
MR. BOBBY MARCUS CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4149 E 71ST ST APT 4, CLEVELAND, OH 44105-5082
(216) 543-6259
Mailing address
4149 E 71ST ST APT 4, CLEVELAND, OH 44105-5082
(216) 543-6259
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SX887399
OH
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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