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NPI Code Detail

MEDICARE: DR. WILLIAM W CRAIG MD

MEDICARE: DR. WILLIAM W CRAIG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician4453NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13102442OTHERNVEPSDT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982779591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM W CRAIG MD
Provider Business Mailing Address
First Line : 3201 S MARYLAND PKY
Second Line : SUITE 624
City : LAS VEGAS
State : NV
Zip : 89109-2428
Country : US
Telephone Number : 702-862-4636
Fax Number : 702-862-4669
Provider Business Practice Location Address
First Line : 3201 S MARYLAND PKY
Second Line : SUITE 624
City : LAS VEGAS
State : NV
Zip : 89109-2428
Country : US
Telephone Number : 702-862-4636
Fax Number : 702-862-4669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM W CRAIG MD” Practice Location

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