Provider Demographics
NPI:1740327923
Name:CRAYTON, EUGENE JAKE JR (MD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:JAKE
Last Name:CRAYTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1299 NEWELL HILL PL
Mailing Address - Street 2:100
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5292
Mailing Address - Country:US
Mailing Address - Phone:925-472-0933
Mailing Address - Fax:925-935-8506
Practice Address - Street 1:1299 NEWELL HILL PL
Practice Address - Street 2:100
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5292
Practice Address - Country:US
Practice Address - Phone:925-472-0933
Practice Address - Fax:925-935-8506
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG722952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry