Provider Demographics
NPI:1982779591
Name:CRAIG, WILLIAM W (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:W
Last Name:CRAIG
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3201 S MARYLAND PKY
Mailing Address - Street 2:SUITE 624
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2428
Mailing Address - Country:US
Mailing Address - Phone:702-862-4636
Mailing Address - Fax:702-862-4669
Practice Address - Street 1:3201 S MARYLAND PKY
Practice Address - Street 2:SUITE 624
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2428
Practice Address - Country:US
Practice Address - Phone:702-862-4636
Practice Address - Fax:702-862-4669
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV4453208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV3102442OtherEPSDT
NV2002442Medicaid