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Physician Compare National (NPI:1689716698)

HEALTHCARE PROVIDER: DAVID ALLEN CRAIG D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1689716698
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2062562531
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090622000101
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CRAIG
Individual professional last name
Provider First Name DAVID
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 437 OLD MAMMOTH RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 214 A
Group Practice or individual's line 2 address
City MAMMOTH LAKES
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 935462013
Group Practice or individual's zip code (9 digits when available)
Phone Number 7609344449
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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