Provider Information for 1427658145
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CRAIG SPENCER HUTTON
Sex: Male
NPI: 1427658145
Last Updated: 2021-04-27
Certification Date: 2021-04-27
Certification Date: 2021-04-27
Details
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NPI | 1427658145 | ||||||||
Enumeration Date | 2020-10-30 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 5522 FARMINGTON, NM 87499-5522 United States Phone: 505-297-6616 | Fax:505-787-2411 | ||||||||
Primary Practice Address | 116 N WALL AVE FARMINGTON, NM 87401-6916 United States Phone: 505-297-6616 | Fax:505-787-2411 | ||||||||
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