Individual
CRAIG W MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE PHS HOSPITAL, FORT DEFIANCE, AZ 86504
(928) 729-8819
Mailing address
PO BOX 39, FORT DEFIANCE, AZ 86504-0039
(928) 729-5845
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
156
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R9376
—
NM
05
—
454687
—
AZ
Enumeration date
11/09/2006
Last updated
07/08/2007
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