Individual
ROBERT QUENTON CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
513 BROOKWOOD BLVD, STE. 75, BIRMINGHAM, AL 35209-6862
(205) 250-6805
(205) 250-6580
Mailing address
513 BROOKWOOD BLVD, STE. 75, BIRMINGHAM, AL 35209-6862
(205) 250-6805
(205) 250-6580
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
6319
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000005713
—
AL
Enumeration date
05/17/2006
Last updated
03/24/2010
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