Individual
CRAIG E JURATSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1441 CONSTITUTION BLVD., BLDG 200, FLOOR 1, SUITE 105, SALINAS, CA 93906-3126
(831) 769-8660
Mailing address
1615 BUNKER HILL WAY, SUITE 100, SALINAS, CA 93906-6010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G64550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G645500
—
CA
01
—
FHC70125F
MEDI-CAL FQHC FOR CLINIC
CA
01
—
HAP70125F
FAMILY PACT FOR FQHC CLINIC
CA
01
—
ZZZ03040Z
MEDICARE CLINIC GRP PTAN
CA
Enumeration date
11/02/2006
Last updated
08/17/2009
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