Provider Demographics
NPI:1376517201
Name:PACKARD, CRAIG STEVENS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:STEVENS
Last Name:PACKARD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:156 HARVEY RD
Mailing Address - Street 2:CONCENTRA URGENT CARE
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053
Mailing Address - Country:US
Mailing Address - Phone:603-644-3330
Mailing Address - Fax:
Practice Address - Street 1:156 HARVEY RD
Practice Address - Street 2:CONCENTRA URGENT CARE
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053
Practice Address - Country:US
Practice Address - Phone:603-644-3330
Practice Address - Fax:603-644-3332
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE22358207Q00000X
NH15389207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine