Individual
WILLIAM RANDY CRAIG
Active
Individual
WILLIAM RANDY CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
103131
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257960B
—
OK
05
—
100311550G
—
KS
05
—
1831130020
—
MO
01
—
P00800262
RAIL ROAD MEDICARE
MO
Enumeration date
06/09/2006
Last updated
03/16/2016
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