Provider Demographics
NPI:1083675532
Name:CRAIG, ROBERT MAHLON (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MAHLON
Last Name:CRAIG
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1650 COCHRANE CIRCLE
Mailing Address - Street 2:ATTN: CREDENTIALS OFICE - EVANS ARMYCOMMUNITY HOSPITAL
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-7844
Mailing Address - Fax:719-526-7984
Practice Address - Street 1:EVANS ARMY COMMUNITY NHOSPITAL (EACH) USA MEDDAC
Practice Address - Street 2:GENERAL SURGERY CLINIC
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4604
Practice Address - Country:US
Practice Address - Phone:719-524-4166
Practice Address - Fax:719-524-4259
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2011-06-09
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Provider Licenses
StateLicense IDTaxonomies
TXJ0815208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery