IndividualActive
Samantha Cragg, M.D.
NPI 1699071217 · Pediatric Rehabilitation Medicine Physician · Boise, ID
Provider details
- NPI number
- 1699071217
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- M-14907 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
305 E Jefferson St
Boise, ID 83712-6231
Phone: (083) 815-1112
Approximate (ZIP-level) locationGet directions
Mailing address
305 E Jefferson St
Boise, ID 83712-6231
Registry dates
- Enumerated
- 2011-01-28
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.