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NPI Code Detail

MEDICARE: DIANNA CRAIG

MEDICARE: DIANNA CRAIG
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
1208600000XSurgery PhysicianMD059296LPA

General Provider Information

NPI Number : 1134123052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA CRAIG
Provider Business Mailing Address
First Line : 1086 FRANKLIN ST
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15905-4305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 SOMERSET AVE
Second Line :
City : WINDBER
State : PA
Zip : 15963-1331
Country : US
Telephone Number : 814-467-0044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 03/25/2021

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Directions to “ DIANNA CRAIG ” Practice Location

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