Provider Demographics
NPI:1346210085
Name:SUITER, CRAIG C (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:C
Last Name:SUITER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7245 E OSBORN RD
Mailing Address - Street 2:STE 4
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6443
Mailing Address - Country:US
Mailing Address - Phone:480-994-5012
Mailing Address - Fax:480-994-1948
Practice Address - Street 1:7245 E OSBORN
Practice Address - Street 2:4 ASSOCIATED OPHTHALMOLOGIST
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6443
Practice Address - Country:US
Practice Address - Phone:480-994-5012
Practice Address - Fax:480-994-1948
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2008-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ21641207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF05068Medicare UPIN
AZ18WCKFK07Medicare ID - Type Unspecified