Craig Lee Middlebrook LAT, ATC

NPI 1518276476 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1518276476
Gender Male
Enumeration Date 09/27/2010
Last Updated 09/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
200 N 7TH ST
TERRE HAUTE IN, 47809-1902, US
Phone (360) 689-2134
Business Location
TERRE HAUTE IN, 47803-4258, US
Phone (360) 689-2134
Taxonomy Code 2255A2300X
License State Washington
License Number A1 60047440
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According to our database, Craig Lee Middlebrook LAT, ATC NPI is 1518276476, taxonomy code is 2255A2300X and license number is A1 60047440, license state is located at Washington. Craig Lee Middlebrook LAT, ATC physically located at 200 N 7th St, Terre Haute IN, 47809-1902. NPI Number Craig Lee Middlebrook LAT, ATC has the Individual type.

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1518276476 NPI number is provided on an as is basis without warranty of any kind. 1518276476 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Lee Middlebrook LAT, ATC are for informational purposes only.