Individual
CRAIG ALAN FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3351 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 522-5594
(208) 552-2240
Mailing address
3351 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 522-5594
(208) 552-2240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
679
NV
152W00000X
Optometrist
Primary
ODP-100211
ID
Other
Enumeration date
07/16/2010
Last updated
10/15/2012
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