Individual
MR. PATRICK A CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1125
(505) 841-1737
Mailing address
PO BOX 26666, PRESBYTERIAN HEALTHCARE SERVICES, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15623C
WY
207P00000X
Emergency Medicine Physician
2024034796
MO
207P00000X
Emergency Medicine Physician
M1605
TX
207P00000X
Emergency Medicine Physician
Primary
MD2013-0163
NM
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
M1605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177154502
—
TX
Enumeration date
04/19/2006
Last updated
11/20/2024
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