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NPI Code Detail

MEDICARE: DR. JESSICA S. CRAIG MD

MEDICARE:  DR. JESSICA S. CRAIG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD17221HI
2207Q00000XFamily Medicine PhysicianA80156CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003988759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA S. CRAIG MD
Provider Business Mailing Address
First Line : 201 9TH ST
Second Line :
City : MARINA
State : CA
Zip : 93933-6039
Country : US
Telephone Number : 831-884-1171
Fax Number : 831-884-1024
Provider Business Practice Location Address
First Line : 201 9TH ST
Second Line :
City : MARINA
State : CA
Zip : 93933-6039
Country : US
Telephone Number : 831-884-1171
Fax Number : 831-884-1024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 09/25/2022

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Directions to “ DR. JESSICA S. CRAIG MD” Practice Location

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