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 1:52 UNDERWOOD ST # MP153
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1110
Practice Address - Country:US
Practice Address - Phone:321-842-8475
Practice Address - Fax:407-849-6470
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2024-07-12
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Provider Licenses
StateLicense IDTaxonomies
MDD00603782085R0202X
FLME1686492085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF37714Medicare UPIN