Individual
GREGORY E CRANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W, SUITE 100 BLDG B, PROVO, UT 84604-3305
(801) 374-1268
(801) 429-8041
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 429-8180
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1808221205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007387101
IHC HEALTHPLANS
UT
01
—
19417
PEHP
UT
01
—
29-00037
UNITED HEALTHCARE
UT
01
—
5672
DMBA
UT
05
—
870281028000
—
UT
01
—
870281028CR1
EMIA
UT
01
—
QM0000009179
ALTIUS
UT
Enumeration date
05/08/2006
Last updated
10/16/2007
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