MEDICARE: DAVID MARSHALL CRAIG 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	2086S0122X	Plastic and Reconstructive Surgery Physician	17252O	OK

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	:	1972510790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MARSHALL CRAIG M.D.

Provider Business Mailing Address
First Line	:	6585 S YALE AVE STE 1020
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-8323
Country	:	US
Telephone Number	:	918-481-2900
Fax Number	:	918-481-2985

Provider Business Practice Location Address
First Line	:	6585 S YALE AVE STE 1020
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-8323
Country	:	US
Telephone Number	:	918-481-2900
Fax Number	:	918-481-2985

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	08/16/2010

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Directions to “ DAVID MARSHALL CRAIG M.D.” Practice Location

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