NPI | 1881087005 |
---|---|
Doing Business As | CRAIG MEDICAL ASSOCIATES-PASSAVANT |
Entity Type | Organization |
Authorized Contact | SCOTT PETERSON CFO 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD035609E) |
Enumeration Date | 2015-03-12 |
Last Update Date | 2017-03-29 |