Individual provider · Type 1 NPI

Richard W. Craddock, PA-C

Physician Assistant · South Charleston, WV

NPI number 1467768804 Active

Practice location

500 Poplar St
South Charleston, WV 25309-1474

Call (304) 342-3891 Map

Fax (304) 342-5307

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X00292 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1467768804

Richard W. Craddock, PA-C's National Provider Identifier is 1467768804, issued on Aug 24, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Charleston, WV. The record was last updated on Nov 1, 2012.