Individual
DR. WILLIAM GLEN CRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6420 PROSPECT AVE, SUITE T 101, KANSAS CITY, MO 64132-4147
(816) 363-4100
(816) 363-1214
Mailing address
6420 PROSPECT AVE, SUITE T 101, KANSAS CITY, MO 64132-4147
(816) 363-4100
(816) 363-1214
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
12-00395
KS
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2008029034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255506101
—
MO
05
—
200623740A
—
KS
Enumeration date
04/22/2008
Last updated
12/17/2013
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