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NPI Code Detail

MEDICARE: DR. STEVEN E CRAIG DPM

MEDICARE: DR. STEVEN E CRAIG DPM
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
1213E00000XPodiatrist06600IA
2213E00000XPodiatrist016-005138IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
41073512448OTHERILWPS MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11073512448OTHERIANPI
21285803452OTHERILADMINISTAR DME
3421472722OTHERNONE PROVIDED
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61285803452OTHERIADMERC

General Provider Information

NPI Number : 1073512448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN E CRAIG DPM
Provider Business Mailing Address
First Line : 7495 S STATE ST
Second Line :
City : MIDVALE
State : UT
Zip : 84047-2013
Country : US
Telephone Number : 801-213-9400
Fax Number :
Provider Business Practice Location Address
First Line : 7495 S STATE ST
Second Line :
City : MIDVALE
State : UT
Zip : 84047-2013
Country : US
Telephone Number : 801-213-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 02/13/2025

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Directions to “ DR. STEVEN E CRAIG DPM” Practice Location

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