Richard W Craddock, PA-C
NPI #1467768804 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1467768804
- Entity Type
- Individual
- Name
- Richard W Craddock, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Nov 1, 2012
Practice Location
- Address
- 500 POPLAR ST
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-1474
- Phone
- (304) 342-3891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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