Provider Demographics
NPI:1093888489
Name:CRAIG, WILLIAM DALTON (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DALTON
Last Name:CRAIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:1145 19TH ST NW
Practice Address - Street 2:SUITE 205
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3701
Practice Address - Country:US
Practice Address - Phone:301-279-4900
Practice Address - Fax:301-279-4489
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2019-10-14
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Provider Licenses
StateLicense IDTaxonomies
MDD00603782085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF37714Medicare UPIN