Duane Eldon Craddock in Coeur D Alene - Pediatrics
Duane Eldon Craddock - NPI 1609886514
Duane Eldon Craddock is a Pediatrics in Coeur D Alene, Idaho. Duane Eldon Craddock practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Duane Eldon Craddock is 1609886514. The last update date is 2017-03-08.
Duane Eldon Craddock's current location address is 700 W Ironwood Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2086670585 and fax number 2086670876. The mailing address for Duane Eldon Craddock is 700 W Ironwood Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Duane Eldon Craddock |
|---|---|
| Address | 700 W Ironwood Dr, Coeur D Alene, Idaho |
| Phone Number | 2086670585 |
| Fax Number | 2086670876 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609886514 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2017-03-08 |
Provider Mailing Address Detail
| Address | 700 W Ironwood Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142656 |
| Phone Number | 2086670585 |
| Fax Number | 2086670876 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | M7929 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J3995 | ID | BLUE CROSS OF IDAHO | |
| 10028256 | ID | REGENCE BLUE SHIELD | |
| 10028257 | ID | REGENCE BLUE SHIELD | |
| 1609886514 | MT | -- | |
| 8267114 | WA | -- | |
| 805750600 | ID | -- | |
| J3953 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the Duane Eldon Craddock's 1609886514?
The Duane Eldon Craddock's NPI (National Provider Identifier) Number is 1609886514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Duane Eldon Craddock is physically located?
The Duane Eldon Craddock is situated at the following address: 700 W Ironwood Dr, Coeur D Alene, ID 838142656.
What is Duane Eldon Craddock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Duane Eldon Craddock is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
When was the Duane Eldon Craddock's 1609886514 issued?
The Duane Eldon Craddock's 1609886514 was issued on 2006-08-09.
When was the information regarding Duane Eldon Craddock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Duane Eldon Craddock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-08.
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