Provider Demographics
NPI:1043504780
Name:CRAFT, EDWARD ARTHUR II (DO)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ARTHUR
Last Name:CRAFT
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:26908 COOK RD
Mailing Address - Street 2:
Mailing Address - City:OLMSTED TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44138-3548
Mailing Address - Country:US
Mailing Address - Phone:440-414-9700
Mailing Address - Fax:216-201-5584
Practice Address - Street 1:26908 COOK RD
Practice Address - Street 2:
Practice Address - City:OLMSTED TWP
Practice Address - State:OH
Practice Address - Zip Code:44138-3548
Practice Address - Country:US
Practice Address - Phone:440-414-9700
Practice Address - Fax:216-201-5584
Is Sole Proprietor?:No
Enumeration Date:2011-05-29
Last Update Date:2020-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34011334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0129238Medicaid