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Individual

CHARLES L CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
218 S UNION ST, STAFFORD, KS 67578-1428
(316) 644-9350
(620) 234-2002
Mailing address
218 S UNION ST, STAFFORD, KS 67578-1428
(316) 644-9350
(620) 234-2002

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500976
KS

Other

Enumeration date
06/09/2006
Last updated
10/07/2019
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