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Search › Idaho › 363AM0700X

Craig Kantack, PA-C

NPI 1699052357 · on the registry since 2011

Practice

Address
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone
(208) 542-9111
Organisation at this address
Idaho Urgent Care
Sterling Healthcare
Sterling Medical Llc
Sterling Provider Group
Urgent Care Associates Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-12

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