Provider Demographics
NPI:1962516328
Name:CRANOR, JOHN DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:CRANOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1124 E ELIZABETH STREET
Mailing Address - Street 2:BUILDING C
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4051
Mailing Address - Country:US
Mailing Address - Phone:970-484-0798
Mailing Address - Fax:970-482-0679
Practice Address - Street 1:1124 E ELIZABETH STREET
Practice Address - Street 2:BUILDING C
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4051
Practice Address - Country:US
Practice Address - Phone:970-484-0798
Practice Address - Fax:970-482-0679
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-07-13
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Provider Licenses
StateLicense IDTaxonomies
CO26079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01260793Medicaid
CO01260793Medicaid
COD24747Medicare UPIN