Individual
NATHAN NOEL CRADDUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 N MINGO RD TRLR 105, TULSA, OK 74116-5639
(657) 649-6455
Mailing address
801 N MINGO RD TRLR 105, TULSA, OK 74116-5639
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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