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NPI Code Detail

MEDICARE: CRAIG GOLDSTEIN DO PA

MEDICARE: CRAIG GOLDSTEIN DO PA
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
1207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) Physician2000161122MO

Other Identifiers

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

General Provider Information

NPI Number : 1871844993
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRAIG GOLDSTEIN DO PA
Provider Business Mailing Address
First Line : PO BOX 871248
Second Line :
City : KANSAS CITY
State : MO
Zip : 64187-1248
Country : US
Telephone Number : 913-322-6675
Fax Number : 888-778-9471
Provider Business Practice Location Address
First Line : 500 NW 68TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-2455
Country : US
Telephone Number : 913-322-6675
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER
Name : DR. CRAIG A GOLDSTEIN
Credential : DO
Telephone Number : 913-322-6675
Provider Enumeration Date : 09/28/2012
Last Update Date : 10/09/2024

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Directions to “CRAIG GOLDSTEIN DO PA ” Practice Location

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