Dr. Duane Eldon Craddock
MD | Pediatrics | Male
Dr. Duane Eldon Craddock, MD is a Coeur D Alene, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Duane Eldon Craddock is
700 W Ironwood Dr, Ste 155, Coeur D Alene, Idaho - 83814-2656. He can be contacted on phone at
208-667-0585 and fax number 208-667-0876.
Dr. Duane Eldon Craddock is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Duane Eldon Craddock is
1609886514 which was assigned by NPPES on 09 Aug, 2006 and it was last updated on 08 Mar, 2017.
Dr. Duane Eldon Craddock license number is
M7929 for Pediatrics (208000000X) in Idaho.
Dr. Duane Eldon Craddock 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. Duane Eldon Craddock basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Duane Eldon Craddock |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Duane Eldon Craddock 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 : | 700 W Ironwood Dr, Ste 155
Coeur D Alene, ID, 83814-2656
United States |
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| Phone Number : | 208-667-0585 |
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| Fax Number : | 208-667-0876 |
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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 : | 1609886514 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Aug, 2006 |
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| Last Updated On : | 08 Mar, 2017 |
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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. Duane Eldon Craddock are as mentioned. Primary taxonomy code for Dr. Duane Eldon Craddock, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M7929 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Duane Eldon Craddock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1609886514 | MEDICAID | MT | |
| 000010028257 | Other | ID | REGENCE BLUE SHIELD |
| 805750600 | MEDICAID | ID | |
| 000010028256 | Other | ID | REGENCE BLUE SHIELD |
| J3953 | Other | ID | BLUE CROSS OF IDAHO |
| 8267114 | MEDICAID | WA | |
| J3995 | Other | ID | BLUE CROSS OF IDAHO |
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 : | 700 W Ironwood Dr, Ste 155
Coeur D Alene, ID, 83814-2656
United States |
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| Phone Number : | 208-667-0585 |
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| Fax Number : | 208-667-0876 |
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Business Location:
Patients can refer following map for directions to
Dr. Duane Eldon Craddock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.