MR. STEVEN LEE CRADDICK PA-C MPAS NPI 1487926218

NPI Information

NPI: 1487926218
Provider Name: MR. STEVEN LEE CRADDICK, PA-C, MPAS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1867 AIRPORT FRONTAGE ROAD
SUITE B (U.S. HEALTHWORKS ALASKA)
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-2178
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MR. Steven Lee Craddick, PA-C, MPAS is a medical physician assistant in Fairbanks, AK. MR. Steven Lee Craddick, PA-C, MPAS NPI is 1487926218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1867 AIRPORT FRONTAGE ROAD
SUITE B (U.S. HEALTHWORKS ALASKA)
FAIRBANKS, AK
ZIP 99701-867
Phone: (907) 452-2178
Fax: (907) 452-3178

The enumeration date for this NPI number is 2/9/2012 and was last updated on 5/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	250	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	250	OTHER	ALASKA	STATE PA LICENSE NUMBER
2	MC2354378	OTHER	ALASKA	DEA REGISTRATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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