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CRAIG ALAN WARDELL M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1851371686
Individual Registrant: CRAIG ALAN WARDELL M.D.
Gender: M
Gender: M
Location and contact information for practice:
4175 S ALAMO AVE DAVIS MONTHAN A F B, AZ 85707-6097 US
Tel: 520-228-1593 Fax: 520-228-8763
Tel: 520-228-1593 Fax: 520-228-8763
Contact information for business:
7924 E SHIMMERING WAY TUCSON, AZ 85730-1272 US
Tel: 520-733-2245 Fax: --
Tel: 520-733-2245 Fax: --
Registration Information:
NPI: 1851371686
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | FL | ME75915 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
