Provider Demographics
NPI:1871549352
Name:MCCRANN, ELIZABETH YOUNGBLADE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:YOUNGBLADE
Last Name:MCCRANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4600 HALE PKWY
Mailing Address - Street 2:WOLF BUILDING, STE. 400
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4020
Mailing Address - Country:US
Mailing Address - Phone:303-321-2166
Mailing Address - Fax:303-861-7211
Practice Address - Street 1:4600 HALE PKWY
Practice Address - Street 2:WOLF BUILDING, STE. 400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4020
Practice Address - Country:US
Practice Address - Phone:303-321-2166
Practice Address - Fax:303-861-7211
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2010-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO26975207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61734Medicare ID - Type Unspecified
COE80674Medicare UPIN