Individual
DR. TIMOTHY WAYNE CRAIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
126 MISSOURI AVE, GLWACH ATTN MCXP-CCS-CR, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0417
(573) 596-0524
Mailing address
126 MISSOURI AVE, GLWACH ATTN MCXP-CCS-CR, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0417
(573) 596-0524
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15980
OK
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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