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Individual
DR. MARK D CROUCHER
Active
Individual
DR. MARK D CROUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007252
NY
111NX0800X
Orthopedic Chiropractor
Primary
1199
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195038
ANTHEM BLUE CROSS
VA
01
—
7967114001
CIGNA
VA
Enumeration date
06/07/2006
Last updated
11/10/2010
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