# CROUGH PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184168916
- **Authorized official:** DR. JACKSON THOMAS CROUGH DPM (PODIATRIST)
- **Authorized official phone:** (760) 507-2070

## Contact information

- **Practice address:** 1180 N INDIAN CANYON DR, SUITE 201, PALM SPRINGS, CA 92262-4800
- **Practice address phone:** (760) 416-4511
- **Mailing address:** 777 E TAHQUITZ CANYON WAY, SUITE 200-096, PALM SPRINGS, CA 92262-6784
- **Mailing address phone:** (760) 507-2070
- **Mailing address fax:** (760) 507-2071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E5290 | CA | Yes |

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 12/13/2016