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Individual

CRAIG ALAN ALPAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPAC

Contact information

Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
(918) 458-3511
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
(918) 458-3511

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5342195
NY

Other

Enumeration date
10/16/2006
Last updated
11/14/2007
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