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Contact Information

CRAIG TATOM, APN
HWY 72 N PHYSICIANS OFFICE BUILDING II
SALEM, MO65560
 Phone: 573-729-6112
 Fax: 573-729-4035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CRAIG TATOM · (Male)

NPI Number 1225286347
Status Active
Credentials APN
Entity Individual
Enumeration date 09/03/2008
Last updated 09/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 128312
  • Other 2008004369 ANCC CERTIFICATION
  • MO Other 128312 STATE LICENSE
Hospital affiliation(s)
  • PHELPS COUNTY REGIONAL MEDICAL CENTER - (Acute Care)
    1000 W 10TH ST
    ROLLA, MO 65401
  • SALEM MEMORIAL DISTRICT HOSPITAL - (Critical Access)
    PO BOX 774
    SALEM, MO 65560
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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