Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | D36516 | MD |
NPI | 1184658668 |
---|---|
Provider Name | Dr. Craig David Shriver |
First Address | Laurel, MD 20723-1469 |
Second Address | Washington, DC 20307-0003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |