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Individual

CHARLES DAVID CROUSE II

Active
Find providers by NPI
Individual

CHARLES DAVID CROUSE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101236620
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010079624
VIRGINIA PREMIER (MEDICAID HMO)
—
05
—
010079624
—
VA
01
—
10-01813
UNITED HEALTHCARE OF VIRGINIA
—
01
—
183014
ANTHEM AND HEALTHKEEPERS
—
01
—
3123459
MAMSI HEALTH PLANS
—
01
—
316948
SOUTHERN HEALTH
—
01
—
7432600
AETNA US HEALTHCARE
—
01
—
P00276841
MEDICARE RAILROAD
VA
01
—
TN0113
RIVER VALLEY
—
Enumeration date
12/21/2005
Last updated
01/21/2010
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