Craig, H Randall

Craig, H Randall is an individual health care provider with primary practice located at 2155 E Conference Dr Suite 115, Tempe AZ 85284-2604. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Craig, H Randall can be contacted via phone (480) 831-2445.

Contact Information

Primary practice address
2155 E Conference Dr Suite 115 Tempe AZ 85284-2604
Phone: (480) 831-2445
Fax: (480) 897-1283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 17760 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17760 Arizona
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 17760 Arizona

Profile Details

NPI number 1144280249
LBN Legal business name Craig, H Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144280249 NPPES
Arizona MEDICAID 104597

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