Doctor Name: | DR. BRAD L CRANWELL |
NPI Number: | 1295731297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 5654 |
Business Practice Address: | 110 Traders Ln Milliken, CO - 805433152 |
Business Phone Number: | 9705877029 |
Business Fax Number: | 9705877029 |
Mailing Address: | 110 Traders Ln, MILLIKEN |
State: | CO |
Postal Code: | 805433152 |
Phone Number: | 9705877029 |
Fax Number: | 9705877029 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111NT0100X |
License Number: | 5654 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | Thermography |
Taxonomy Definition: |