Individual
CRAIG OWEN HEASLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
2301 S MAIN ST, LAS CRUCES, NM 88005-3112
(575) 526-4500
(505) 345-6511
Mailing address
2301 S MAIN ST, LAS CRUCES, NM 88005-3112
(575) 526-4500
(505) 345-6511
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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