Individual provider · NPI-1

Craig Owen Heaslip, ATP

Technician, Other · Las Cruces, NM

NPI number1851814263
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1851814263
Entity type
Individual (NPI-1)
Name
Craig Owen Heaslip
Credential
ATP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 18, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

2301 S Main St
Las Cruces, NM 88005-3112

Phone 575-526-4500 · Fax 505-345-6511

Mailing address

2301 S Main St
Las Cruces, NM 88005-3112

Phone 575-526-4500 · Fax 505-345-6511

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Other Technician, Other providers in Las Cruces, NM