Individual
JOHN A. CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 EAST 16TH AVENUE ; B115, AURORA, CO 80045
(720) 777-6892
(720) 777-7289
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N0711
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
N0711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82387273
—
CO
Enumeration date
09/25/2008
Last updated
12/12/2012
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