Individual
DR. DOUGLAS A CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 N KENTUCKY AVE, WEST PLAINS, MO 65775-2022
(417) 256-2111
Mailing address
805 N KENTUCKY AVE, WEST PLAINS, MO 65775-2022
(417) 256-2111
(417) 257-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018005000
MO
207Q00000X
Family Medicine Physician
94-08586
KS
208M00000X
Hospitalist Physician
04-39253
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-39253
KANSAS MEDICAL LICENSE
KS
01
—
132450013
MEDICARE PART B
MO
05
—
200052063
—
MO
01
—
26D0679044
CLIA
MO
01
—
501010023
MEDICARE PART B
MO
Enumeration date
06/04/2015
Last updated
02/05/2026
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