Provider Demographics
NPI:1669495834
Name:NAIRN, CRAIG STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:STEPHEN
Last Name:NAIRN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8080 ACADEMY RD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1159
Mailing Address - Country:US
Mailing Address - Phone:505-247-9700
Mailing Address - Fax:505-247-4333
Practice Address - Street 1:8080 ACADEMY RD NE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-1159
Practice Address - Country:US
Practice Address - Phone:505-247-9700
Practice Address - Fax:505-247-4333
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM98348208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMQ7223Medicaid
NM200521033Medicare ID - Type Unspecified
NMQ7223Medicaid