Individual
MR. DOUGLAS CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C0002282
MD
363A00000X
Physician Assistant
C02282
MD
363AS0400X
Surgical Physician Assistant
Primary
C02282
MD
Other
Enumeration date
01/31/2006
Last updated
11/05/2007
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