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Individual
DR. MAX JAY CROUCH
Active
Individual
DR. MAX JAY CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
181049-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181049-1205
STATE LICENSE
UT
Enumeration date
11/29/2006
Last updated
12/22/2011
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