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Individual

DR. CRAIG SHERMAN FEASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 ROLLING RIDGE DR, SUITE 100, STATE COLLEGE, PA 16801-7641
(814) 867-0670
(814) 867-7616
Mailing address
320 ROLLING RIDGE DR, SUITE 100, STATE COLLEGE, PA 16801-7641
(814) 867-0670
(814) 867-7616

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD 072243 L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18467600002
PA
Enumeration date
07/14/2005
Last updated
06/20/2013
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