Craig D Fox | |
2 Wilson Ave Washington PA 15301-3335 | |
(724) 228-4550 | |
(724) 228-3746 |
Full Name | Craig D Fox |
---|---|
Speciality | Family Medicine |
Location | 2 Wilson Ave, Washington, Pennsylvania |
Authorized Official Name and Position | Craig D Fox (OWNER) |
Authorized Official Contact | 7242284550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Craig D Fox 2 Wilson Ave Washington PA 15301-3335 Ph: (724) 228-4550 | Craig D Fox 2 Wilson Ave Washington PA 15301-3335 Ph: (724) 228-4550 |
NPI Number | 1548524929 |
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Provider Enumeration Date | 06/29/2012 |
Last Update Date | 06/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548524929 | NPI | - | NPPES |
017701100 | Other | PA | BLACK LUNG |
000898574 | Medicaid | PA | |
080008703 | Other | PA | RAILROAD MEDICARE 193391 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD025638E (Pennsylvania) | Primary |
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