Individual
DR. PETER MELVIN CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 WASHINGTON ST, MONTPELIER, ID 83254-1544
(208) 847-4495
Mailing address
465 WASHINGTON ST, MONTPELIER, ID 83254-1544
(208) 847-4495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01067036A
IN
207Q00000X
Family Medicine Physician
Primary
M-11149
ID
Other
Enumeration date
04/27/2008
Last updated
03/28/2012
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