NPI 1457661662

David G. Crane, INC.

Organisation Exclusive Provider Organization Bloomington, IN

Practice location

Address: 802 S Washington St, Bloomington, IN 47401-4644
Phone: (812) 339-1221

Authorised official

Name: David G Crane
Title: President
Phone: (812) 339-1221

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 01019739 (IN)

Other Exclusive Provider Organization providers in Indiana →

Registry record

NPI: 1457661662
Entity type: Organization
NPI issued: 21 Oct 2010
Record last updated: 21 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.