Individual
RANDALL DOUGLAS CRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITAL - PATHOLOGY DEPT, 200 HENRY CLAY AVE, NEW ORLEANS, LA 70118
(504) 896-9815
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
(504) 894-5119
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.04626R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1352845
—
LA
Enumeration date
07/25/2006
Last updated
04/17/2019
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