CRAIG STEPHEN KANTACK

IDAHO FALLS, ID
NPI1699052357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-984)
Enumeration Date2011-11-09
Last Update Date2023-04-12
Business Address
Mr. CRAIG STEPHEN KANTACK PA-C
740 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 208-542-9111
Mailing Address
Mr. CRAIG STEPHEN KANTACK PA-C
944 W 97TH S
IDAHO FALLS, ID 83402-5842
Phone number: 208-313-5150
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