Individual
DR. EDWARD C CRASE
Active
Individual
DR. EDWARD C CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD38755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000565638
ANTHEM BCBS
KY
05
—
30289901
—
TN
01
—
4147357
BCBS PROVIDER
—
05
—
6412098300
—
KY
01
—
P00450596
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
07/30/2009
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