Individual
DIANE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 N HIGH ST, HILLSBORO, OH 45133-8273
(937) 393-6100
(937) 393-6333
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35068426C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344442
BCBS
—
05
—
2103673
—
OH
01
—
P00166560
RAIL ROAD MEDICARE
—
Enumeration date
05/03/2006
Last updated
10/18/2007
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