Provider Demographics
NPI:1881029254
Name:BYER, CRAIG DAVID (RRA)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:DAVID
Last Name:BYER
Suffix:
Gender:M
Credentials:RRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12615 MERIDIAN E
Mailing Address - Street 2:STE 3
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3409
Mailing Address - Country:US
Mailing Address - Phone:253-435-5195
Mailing Address - Fax:253-435-5482
Practice Address - Street 1:12615 MERIDIAN E
Practice Address - Street 2:STE 3
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3409
Practice Address - Country:US
Practice Address - Phone:253-435-5195
Practice Address - Fax:253-435-5482
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARA60390247243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA121626OtherARDMS
WA385166OtherARRT