NPI 1477518710 · live from the CMS NPI Registry
Patrick A Craddock, MD
Emergency Medicine in Albuquerque, NM. National Provider Identifier 1477518710, active.
NPI record
| NPI | 1477518710 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1100 Central Ave Se, Albuquerque, NM 87106 |
| Practice phone | 505-841-1125 |
| Mailing address | Po Box 26666, Presbyterian Healthcare Services, Albuquerque, NM 87125 |
| Enumerated | April 19, 2006 |
| Last updated | November 20, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 15623C (WY) |
| Emergency Medicine | 207P00000X | M1605 (TX) |
| Emergency Medicine | 207P00000X | 2024034796 (MO) |
| Emergency Medicine primary | 207P00000X | MD2013-0163 (NM) |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | M1605 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.