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Individual

DR. PHILIP EDWIN CRANSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05972
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124000
MS
01
300071336
RAILROAD MEDICARE
MS
01
512G700003
MS MEDICARE - GROUP
MS
01
P00462179
RAILROAD MEDICARE
MS
01
P01198271
RAILROAD MEDICARE PTAN
MS
Enumeration date
06/18/2006
Last updated
09/10/2013
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