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Individual
RONALD H. CROUCH
Active
Individual
RONALD H. CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
165247-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005575201
HUMANA PROVIDER #
UT
01
—
107006720104
IHC PROVIDER #
UT
01
—
19834
DMBA PROVIDER #
UT
01
—
340019513
RR MCARE PROVIDER #
UT
01
—
77402
PEHP PROVIDER #
UT
01
—
870562879CR1
EMIA PROVIDER #
UT
01
—
QM0000076518
ALTIUS PROVIDER #
—
Enumeration date
06/09/2006
Last updated
09/08/2021
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