Individual
BENJAMIN P CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14825 NORTH OUTER 40 ROAD, SUITE 200, CHESTERFIELD, MO 63017-2154
(314) 336-2555
(314) 336-2557
Mailing address
14825 NORTH OUTER 40 ROAD, SUITE 200, CHESTERFIELD, MO 63017-2154
(314) 336-2555
(314) 336-2557
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2008002402
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
40975
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
HEALTHLINK
MO
01
—
1265566392AA
ESSENCE HEALTHCARE
MO
05
—
1871542761
—
MO
01
—
928550
HEALTHLINK
MO
Enumeration date
03/14/2007
Last updated
03/25/2022
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