Individual
BYRON MARC CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2808 NW 31ST ST, OKLAHOMA CITY, OK 73112-7407
(620) 255-0884
Mailing address
PO BOX 1591, CHICKASHA, OK 73023-1591
(620) 255-0884
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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