Individual
CRAIG A NORDHUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-5105
(334) 671-5073
Mailing address
1118 ROSS CLARK CIR, SUITE 700, DOTHAN, AL 36301-3001
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
102394
MO
208VP0000X
Pain Medicine Physician
102394
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100725
—
AL
05
—
100727
—
AL
05
—
100729
—
AL
05
—
100730
—
AL
01
—
51548349
BCBS OF AL
AL
01
—
51548351
BCBS OF AL
AL
01
—
51548352
BCBS OF AL
AL
01
—
51548354
BCBS OF AL
AL
05
—
795265352A
—
GA
Enumeration date
12/13/2005
Last updated
07/02/2008
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