Individual
MR. CRAIG STEPHEN KANTACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
Mailing address
944 W 97TH S, IDAHO FALLS, ID 83402-5842
(208) 313-5150
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-984
ID
Other
Enumeration date
11/09/2011
Last updated
04/12/2023
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