# GILBERT K CRANE MD

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

## Provider details

- **NPI number:** 1710188859
- **Authorized official:** GILBERT K CRANE MD (OWNER)
- **Authorized official phone:** (208) 678-9760

## Contact information

- **Practice address:** 1263 BENNETT AVE STE 1, BURLEY, ID 83318-2666
- **Practice address phone:** (208) 678-9760
- **Practice address fax:** (208) 678-9758
- **Mailing address:** 499 RIVERSIDE DR, BURLEY, ID 83318-5419
- **Mailing address phone:** (208) 678-9760
- **Mailing address fax:** (208) 678-9758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M5867 | ID | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 08/22/2020
