Organization
PUZZLE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T CRIDDLE DO (DO/OWNER)
(208) 407-0691
Entity
Organization
Contact information
Practice address
230 N HOSPITAL DR STE 3, PRICE, UT 84501-4222
(208) 407-0691
Mailing address
312 N 700 E, PRICE, UT 84501-2702
(208) 407-0691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
10/16/2020
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