Individual provider · Type 1 NPI

Vaughn Craddock, MD

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1245026129 Active

Practice location

410 W 10th Ave
Columbus, OH 43210-1240

Mailing address

1025 Dennison Ave Apt 313
Columbus, OH 43201-3868

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245026129

Vaughn Craddock, MD's National Provider Identifier is 1245026129, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on May 16, 2025.