Individual
DR. MARK FARABEE CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 POINT FOSDICK DR, GIG HARBOR, WA 98335-1706
(253) 851-5121
(253) 851-3059
Mailing address
4700 POINT FOSDICK DR STE 220, GIG HARBOR, WA 98335-1706
(253) 851-5121
(253) 851-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8344509
—
WA
Enumeration date
02/08/2006
Last updated
05/19/2021
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