Provider Demographics
NPI:1316924491
Name:CRAIG, STEVEN R (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:CRAIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1221 PLEASANT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1423
Mailing Address - Country:US
Mailing Address - Phone:515-241-8221
Mailing Address - Fax:515-241-4313
Practice Address - Street 1:1221 PLEASANT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1423
Practice Address - Country:US
Practice Address - Phone:515-241-8221
Practice Address - Fax:515-241-4313
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2012-05-22
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Provider Licenses
StateLicense IDTaxonomies
IA22352207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA110073404OtherRR MEDICARE
IA0207530Medicaid
IA1134249832Medicaid
IA110073404OtherRR MEDICARE
IAA02268Medicare UPIN