Laura J Mccrackin, Md, PC

NPI #1720162142 in Delta, Colorado

Provider Information

NPI Number: 1720162142
Entity Type: Organization
Organization Name: Laura J Mccrackin, Md, PC
Primary Specialty: Surgery
Enumeration Date: Oct 24, 2006
Last Updated: Jan 23, 2009

Practice Location

Address: 95 STAFFORD LN
City: Delta
State: Colorado
ZIP Code: 81416-3465
Phone: (970) 874-8026

Authorized Official

Name: LAURA J MCCRACKIN, MD
Title: PHYSICIAN/OWNER
Phone: (970) 874-8026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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