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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144280249 | NPPES |
| Arizona | MEDICAID | 104597 |
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