MEDICARE: CRAIG G GROSS MD PC

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	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1851578314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAIG G GROSS MD PC

Provider Business Mailing Address
First Line	:	7140 E ROSEWOOD ST
Second Line	:	SUITE B
City	:	TUCSON
State	:	AZ
Zip	:	85710-1346
Country	:	US
Telephone Number	:	520-547-4900
Fax Number	:	520-547-2435

Provider Business Practice Location Address
First Line	:	7140 E ROSEWOOD ST
Second Line	:	SUITE B
City	:	TUCSON
State	:	AZ
Zip	:	85710-1346
Country	:	US
Telephone Number	:	520-547-4900
Fax Number	:	520-547-2435

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CRAIG G CROSS
Credential	:
Telephone Number	:	520-547-4900

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/28/2008

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