Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | OS012977 | PA |
NPI | 1023235207 |
---|---|
Provider Name | James Craig |
First Address | Pittsburgh, PA 15237-5818 |
Second Address | Pittsburgh, PA 15237-5818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 25/03/2021 |