Individual
CRAIG HADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
333 LAIDLEY ST, CHARLESTON, WV 25301-1614
(304) 344-0096
(304) 342-4725
Mailing address
110 ROANE ST, CHARLESTON, WV 25302-2334
(304) 344-0096
(304) 342-4725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22485
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009378
—
WV
01
—
HA4211681
MEDICARE PTAN
WV
01
—
P00403707
RAILROAD MEDICARE
WV
Enumeration date
02/16/2007
Last updated
03/22/2010
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