Provider Demographics
NPI:1962062158
Name:CRANE, ADAM J (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:CRANE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3 E APPLEBY RD STE 401
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3163
Mailing Address - Country:US
Mailing Address - Phone:479-404-2500
Mailing Address - Fax:479-404-2501
Practice Address - Street 1:3 E APPLEBY RD STE 401
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3163
Practice Address - Country:US
Practice Address - Phone:479-404-2500
Practice Address - Fax:479-404-2501
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2024-10-16
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Provider Licenses
StateLicense IDTaxonomies
KS94-10033208600000X
ARE-18352208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery