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Individual

DR. JOHN BRUCE CRANE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1595 DENMARK RD, UNION, MO 63084
(636) 584-8989
Mailing address
1595 DENMARK RD, UNION, MO 63084
(636) 584-8989

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03010
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144337437
MO
Enumeration date
08/24/2006
Last updated
10/04/2013
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