Individual
WILLIAM RANDY CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MERCY WAY, SUITE 320-330, JOPLIN, MO 64804-4524
(417) 781-5387
(417) 781-7174
Mailing address
100 MERCY WAY, SUITE 320-330, JOPLIN, MO 64804-4524
(417) 781-5387
(417) 781-7174
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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