Individual
JANNA R CROSNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5725
(573) 332-0808
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106393
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208668004
—
MO
01
—
333547
HEALTHLINK
—
01
—
603526
ANTHEM BCBS
MO
01
—
P00779915
RR MCR
MO
Enumeration date
06/30/2006
Last updated
08/05/2024
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