Craig Beaver, PH.D

NPI 1225176498 · on the registry since 2007 · sole proprietor

Practice

Address: 250 Bobwhite Ct Ste 220
Boise, ID 83706
Phone: (208) 336-2972
Fax: (208) 336-4408
Organisation at this address: Maxim Healthcare Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 103G00000X
103G00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho