| J. David Cranor Md Llc | |
|
2105 Bighorn Dr. #102 Fort Collins CO 80525-9166 | |
| (970) 226-6000 | |
| (970) 226-6007 |
| Full Name | J. David Cranor Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2105 Bighorn Dr., Fort Collins, Colorado |
| Authorized Official Name and Position | John David Cranor (MEDICAL DOCTOR) |
| Authorized Official Contact | 9702324505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. David Cranor Md Llc 2105 Bighorn Dr. #102 Fort Collins CO 80525-9166 Ph: (970) 226-6000 | J. David Cranor Md Llc 2105 Bighorn Dr. #102 Fort Collins CO 80525-9166 Ph: (970) 226-6000 |
| NPI Number | 1043783566 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 01/15/2019 |
| Medicare PECOS PAC ID | 4789922741 |
|---|---|
| Medicare Enrollment ID | O20190218000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043783566 | NPI | - | NPPES |
| 1962516328 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John David Cranor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962516328 PECOS PAC ID: 1254347842 Enrollment ID: I20100818000426 |
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