Healthcare Provider Details

I. General information

NPI: 1689659005
Provider Name (Legal Business Name): CRAIG L VOSBURGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 10/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 SW 6TH AVE SUITE 200
TOPEKA KS
66615
US

IV. Provider business mailing address

6001 SW 6TH AVE SUITE 200
TOPEKA KS
66615
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-7491
  • Fax: 785-233-3187
Mailing address:
  • Phone: 785-233-7491
  • Fax: 785-233-3187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0426474
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: