CRAIG S KANTACK

MOUNTAIN VIEW HOSPITAL LLC

Dr CRAIG S KANTACK is a male medical professional, specializing in Physician Assistant. He graduated in 2011.

Contact

MOUNTAIN VIEW HOSPITAL LLC

2325 CORONADO ST
IDAHO FALLS
ID
834047407

Tel: 2085572700

CRAIG S KANTACK Information

Npi 1699052357
Pac Id 3577721232
Professional Enrollment Id I20121004000719
Last Name KANTACK
First Name CRAIG
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MOUNTAIN VIEW HOSPITAL LLC
Group Practice Pac Id 4486562774
Number Of Group Practice Members 110
Line 1 Street Address 2325 CORONADO ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047407
Phone Number 2085572700
Hospital Affiliation Ccn 1 130065
Hospital Affiliation Lbn 1 MOUNTAIN VIEW HOSPITAL
Hospital Affiliation Ccn 2 130025
Hospital Affiliation Lbn 2 MADISON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3 131324
Hospital Affiliation Lbn 3 LOST RIVERS MEDICAL CENTER
Hospital Affiliation Ccn 4 130018
Hospital Affiliation Lbn 4 EASTERN IDAHO REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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