MEDICARE: DAVID L CRANE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	10567	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962478057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L CRANE M.D.

Provider Business Mailing Address
First Line	:	3804 NW 125TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8804
Country	:	US
Telephone Number	:	405-752-1796
Fax Number	:	405-752-1796

Provider Business Practice Location Address
First Line	:	3804 NW 125TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8804
Country	:	US
Telephone Number	:	405-752-1796
Fax Number	:	405-752-1796

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	02/19/2009

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Directions to “ DAVID L CRANE M.D.” Practice Location

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