Individual
DR. STEPHEN RODNEY CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9762 W STATE ST, STAR, ID 83669-5766
(208) 286-7733
(208) 392-1940
Mailing address
9762 W STATE ST, STAR, ID 83669-5766
(208) 286-7733
(208) 392-1940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA 1084
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147777
BLUE SHIELD
ID
01
—
C4173
BLUE CROSS
ID
Enumeration date
02/13/2007
Last updated
03/13/2016
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