RICHARD CRADDOCK, PA-C

Physician Assistant

Active Individual
NPI: 1467768804

Practice Address

500 POPLAR ST
South Charleston, WV 25309

Phone: (304) 342-3891

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 00292 (WV)

Frequently Asked Questions

NPI 1467768804 is the National Provider Identifier for RICHARD CRADDOCK, PA-C, a Physician Assistant provider located in South Charleston, WV. This NPI was enumerated on August 24, 2010.
RICHARD CRADDOCK, PA-C practices at 500 POPLAR ST, South Charleston, WV 25309.

Quick Facts

NPI
1467768804
Type
Individual
Enumerated
Aug 24, 2010
Last Updated
Nov 1, 2012

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