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NPI Code Detail

MEDICARE: CRAIG REEVES

MEDICARE: CRAIG REEVES
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1356279798
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG REEVES
Provider Business Mailing Address
First Line : 620 JOHN PAUL JONES CIR
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23708-2111
Country : US
Telephone Number : 757-953-2518
Fax Number :
Provider Business Practice Location Address
First Line : 620 JOHN PAUL JONES CIR
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23708-2111
Country : US
Telephone Number : 757-953-2518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ CRAIG REEVES ” Practice Location

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