Leslie E. Craddock, Od, Ps

NPI #1649573908 in Sammamish, Washington

Provider Information

NPI Number: 1649573908
Entity Type: Organization
Organization Name: Leslie E. Craddock, Od, Ps
Primary Specialty: Optometrist
Enumeration Date: Dec 8, 2010
Last Updated: Apr 14, 2011

Practice Location

Address: 602 228TH AVE NE
City: Sammamish
State: Washington
ZIP Code: 98074-7241
Phone: (425) 836-5352

Authorized Official

Name: DR. LESLIE ELLEN CRADDOCK, O.D.
Title: PRESIDENT
Phone: (425) 836-5352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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