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Individual

JOHN B CRANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(660) 885-3690
Mailing address
1780 OLD HIGHWAY 50 E, UNION, MO 63084-3397
(636) 582-8100
(636) 583-2885

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29624
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
177912
BLUE CROSS BLUE SHIELD
MO
05
200481240
MO
Enumeration date
02/27/2006
Last updated
03/27/2017
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