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NPI Profile for CHARLES W CREAGER IV in TEMPE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1265102453 |
|
| Status | Active | |
| Credentials | MS | |
| Entity | Individual | |
| Enumeration date | 09/17/2021 | |
| Last updated | 09/17/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CHARLES W CREAGER IV
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CHARLES W CREAGER IV, MS