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Individual

MR. CRAIG L HAMANN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
215 N WHITLEY DR, SUITE 1, FRUITLAND, ID 83619-2705
(208) 452-6366
(208) 452-6399
Mailing address
215 N WHITLEY DR, STE 1, FRUITLAND, ID 83619-2706
(208) 452-6366
(208) 452-6399

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-2068
ID

Other

Enumeration date
06/04/2006
Last updated
06/08/2016
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