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Individual

REBECCA A. CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38282
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720023906
IA
01
P01353129
RR MEDICARE
IA
Enumeration date
06/19/2006
Last updated
10/09/2014
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