Provider Demographics
NPI:1639583180
Name:CRAIG, ADAM FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:FREDERICK
Last Name:CRAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 NATURAL RESOURCES DR
Mailing Address - Street 2:P.O. BOX 8500
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-1539
Mailing Address - Country:US
Mailing Address - Phone:501-227-5936
Mailing Address - Fax:501-221-1653
Practice Address - Street 1:3 NATURAL RESOURCES DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1539
Practice Address - Country:US
Practice Address - Phone:501-227-5936
Practice Address - Fax:501-221-1653
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4586207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology