# J. DAVID CRANOR MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043783566
- **Authorized official:** DR. JOHN DAVID CRANOR MD (MEDICAL DOCTOR)
- **Authorized official phone:** (970) 232-4505

## Contact information

- **Practice address:** 2105 BIGHORN DR., \#102, FORT COLLINS, CO 80525-9166
- **Practice address phone:** (970) 226-6000
- **Practice address fax:** (970) 226-6007
- **Mailing address:** 2105 BIGHORN DR., \#102, FORT COLLINS, CO 80525-9166
- **Mailing address phone:** (970) 226-6000
- **Mailing address fax:** (970) 226-6007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 01/15/2019
