RICHARD W CRADDOCK

SOUTH CHARLESTON, WV
NPI1467768804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  00292)
Enumeration Date2010-08-24
Last Update Date2012-11-01
Business Address
-- RICHARD W CRADDOCK PA-C
500 POPLAR ST
SOUTH CHARLESTON, WV 25309-1474
Phone number: 304-342-3891
Mailing Address
-- RICHARD W CRADDOCK PA-C
500 POPLAR ST
SOUTH CHARLESTON, WV 25309-1474
Phone number: 304-342-3891
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