Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 38167 | IA |
NPI | 1134249832 |
---|---|
Provider Name | Dr. Steven Michael Craig |
First Address | Urbandale, IA 50322-7356 |
Second Address | Des Moines, IA 50322-7356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 05/08/2020 |