Dr. Charles Travis Criddle
D.O. | Pediatrics | Male
Dr. Charles Travis Criddle, D.O. is a Meridian, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Charles Travis Criddle is
3277 E Louise Dr, Suite 200, Meridian, Idaho - 83642-9351. He can be contacted on phone at
208-468-5930 and fax number 208-463-3044.
Dr. Charles Travis Criddle is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Charles Travis Criddle is
1366646150 which was assigned by NPPES on 13 Jun, 2007 and it was last updated on 18 Dec, 2009.
Dr. Charles Travis Criddle license number is
O-0532 for Pediatrics (208000000X) in Idaho.
Dr. Charles Travis Criddle is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Charles Travis Criddle basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Charles Travis Criddle |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Dr. Charles Travis Criddle address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3277 E Louise Dr, Suite 200
Meridian, ID, 83642-9351
United States |
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| Phone Number : | 208-468-5930 |
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| Fax Number : | 208-463-3044 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366646150 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jun, 2007 |
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| Last Updated On : | 18 Dec, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles Travis Criddle are as mentioned. Primary taxonomy code for Dr. Charles Travis Criddle, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 125-051457 | IL |
| 208000000X | Pediatrics | Yes | O-0532 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Charles Travis Criddle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8084089 | MEDICAID | ID | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 217 W Georgia Ave, Suite 115
Nampa, ID, 83686-6811
United States |
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| Phone Number : | 208-463-3234 |
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| Fax Number : | 208-463-3044 |
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Business Location:
Patients can refer following map for directions to
Dr. Charles Travis Criddle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.