MR. CRAIG KANTACK, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1699052357
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA-984 (ID) |
Frequently Asked Questions
NPI 1699052357 is the National Provider Identifier for MR. CRAIG KANTACK, PA-C, a Physician Assistant - Medical provider located in Idaho Falls, ID. This NPI was enumerated on November 9, 2011.
MR. CRAIG KANTACK, PA-C practices at 740 S WOODRUFF AVE, Idaho Falls, ID 83401.
Quick Facts
- NPI
- 1699052357
- Type
- Individual
- Enumerated
- Nov 9, 2011
- Last Updated
- Apr 12, 2023
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