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Individual

DR. ROBERT W CRAVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 E 8TH ST, PORT ANGELES, WA 98362-6217
(360) 417-5189
(360) 417-5190
Mailing address
315 E 8TH ST, PORT ANGELES, WA 98362-6217
(360) 417-5189
(360) 417-5190

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00029457
WA
207YP0228X
Pediatric Otolaryngology Physician
MD00029457
WA
207YS0123X
Facial Plastic Surgery Physician
MD00029457
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD00029457
WA
207YX0602X
Otolaryngic Allergy Physician
MD00029457
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8235319
WA
Enumeration date
08/10/2005
Last updated
01/12/2015
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