Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES TRAVIS CRIDDLE, D.O.
ActivePediatrics · MERIDIAN, ID
Registration Details
- NPI Number
- 1366646150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2007 (18.87357765563 yrs)
- Last Updated
- Dec 18, 2009
- Licenses
-
125-051457 (IL)O-0532 (ID)
Practice Information
- Address
-
3277 E LOUISE DRSUITE 200MERIDIAN, ID, 836429351Browse ID providers · Browse ZIP 83642
- Phone
- 2084685930
- Fax
- 2084633044
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. ANNE E. RIFFLE | M.D. | 1043212079 |
| MATTHEW H JOYCE | MD | 1891785820 |
| KATIE E COPELAND | M.D. | 1447240437 |
| MRS. KIMBERLY D FERGUISON | MD-PEDIATRICS | 1356306740 |
| ELSA J. LEE | MD | 1477501880 |
| JOHN W. HANKS | DO | 1396794665 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.