Individual
CRAIG TAKASHI MORITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-9982
(319) 335-7607
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-9982
(319) 335-7607
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
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