Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA CRAGG, M.D.
ActiveSAMANTHA CRAGG, M.D. is a Pediatric Rehabilitation Medicine healthcare provider located in BOISE, Idaho. NPI 1699071217 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · BOISE, ID
Registration Details
- NPI Number
- 1699071217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2011 (15.580302559224 yrs)
- Last Updated
- Jul 20, 2020
- License
-
M-14907 (ID)
Practice Information
- Address
-
305 E JEFFERSON STBOISE, ID, 837126231Browse ID providers · Browse ZIP 83712
- Phone
- 0838151112
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
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.