# CRAIG M. ELDRIDGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366833840
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 65508 | CA | Yes |

## Other

- **Enumeration date:** 02/05/2015
- **Last updated:** 02/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 65508 | MEDICAL LICENSE | CA |
| 05 | — | S100149322 | — | MA |