Individual
CRAIG TAKASHI MORITA
Active
Individual
CRAIG TAKASHI MORITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32764
IA
207RR0500X
Rheumatology Physician
Primary
32764
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187401
—
IA
01
—
48009
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
11/05/2009
Update your record
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