Provider Demographics
NPI:1215114160
Name:BARSTOW, CRAIG HAMILTON (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:HAMILTON
Last Name:BARSTOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WOMACK ARMT MEDICAL CENTER; FMRC
Mailing Address - Street 2:BLDG 4-2817
Mailing Address - City:FT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-5000
Mailing Address - Country:US
Mailing Address - Phone:910-907-8007
Mailing Address - Fax:
Practice Address - Street 1:WOMACK ARMY MEDICAL CENTER; FMRC
Practice Address - Street 2:BLDG 4-2817
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-5000
Practice Address - Country:US
Practice Address - Phone:910-907-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC55555207Q00000X
NC2013-01177207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine