Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRAIG AARON PACKHAM, PA-C
ActiveMedical Physician Assistant · TOOELE, UT
Registration Details
- NPI Number
- 1104920354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2006 (19.615412338912 yrs)
- Last Updated
- Jul 15, 2019
- License
-
51058218002 (UT)
Practice Information
- Address
-
2356 N 400 ESTE 102TOOELE, UT, 84074Browse UT providers · Browse ZIP 84074
- Phone
- 4358339180
- Fax
- 4358339177
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in TOOELE, UT
| Name | Credential | NPI |
|---|---|---|
| DANIEL LEE MARTIN | P.A. | 1902840002 |
| PAULA STOCKMAN BRADLEY | PA-C | 1932366887 |
| ALEXANDRIA BURRINGO | PA-C | 1356817423 |
| SHANNA L. ACORD | PA | 1134692981 |
| MR. SETH HUNTER MANNING | — | 1972242154 |
| MR. JAMISON LANE CREEKMORE | — | 1871294215 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.