Individual
GREGORY JAMES CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1225 MARTHA CUSTIS DR, STE C-7, ALEXANDRIA, VA 22302-2000
(703) 998-6760
Mailing address
1225 MARTHA CUSTIS DR, STE C-7, ALEXANDRIA, VA 22302-2000
(703) 998-6760
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
0102201175
VA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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