Provider Demographics
NPI:1144291089
Name:CRANE, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:CRANE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17300 N OUTER 40 RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1364
Mailing Address - Country:US
Mailing Address - Phone:636-778-2900
Mailing Address - Fax:636-778-2828
Practice Address - Street 1:17300 N OUTER 40 RD STE 201
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1364
Practice Address - Country:US
Practice Address - Phone:636-778-2900
Practice Address - Fax:636-778-2828
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-10-06
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Provider Licenses
StateLicense IDTaxonomies
IN01088509A207PS0010X
ARE-11385207PS0010X
FLME124514207PS0010X
MO2000161049207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO933824655Medicare PIN
MOG37290Medicare UPIN