Provider Demographics
NPI:1508966185
Name:HOWELL, CRAIG LEON (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:LEON
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6810 W KENNEWICK AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1728
Mailing Address - Country:US
Mailing Address - Phone:509-737-1492
Mailing Address - Fax:509-737-1494
Practice Address - Street 1:780 SWIFT BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3587
Practice Address - Country:US
Practice Address - Phone:509-942-2867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00023013207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA271626442OtherTAX ID