Healthcare Provider Details

I. General information

NPI: 1578868048
Provider Name (Legal Business Name): ANA COURTNEY CRANE DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7474 E BROADWAY BLVD
TUCSON AZ
85710-0406
US

IV. Provider business mailing address

10210 E SPEEDWAY BLVD 17
TUCSON AZ
85748-1949
US

V. Phone/Fax

Practice location:
  • Phone: 520-888-3177
  • Fax:
Mailing address:
  • Phone: 520-869-7319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number5040
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: