MEDICARE: DR. CRAIG STEPHEN NAIRN M.D.

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
1	208VP0014X	Interventional Pain Medicine Physician	98348	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1669495834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG STEPHEN NAIRN M.D.

Provider Business Mailing Address
First Line	:	8080 ACADEMY RD NE
Second Line	:	SUITE A
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-1159
Country	:	US
Telephone Number	:	505-247-9700
Fax Number	:	505-247-4333

Provider Business Practice Location Address
First Line	:	8080 ACADEMY RD NE
Second Line	:	SUITE A
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-1159
Country	:	US
Telephone Number	:	505-247-9700
Fax Number	:	505-247-4333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	06/30/2010

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