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Individual

STEVEN W CROUCH

Active
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Individual

STEVEN W CROUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-17559
KS
208M00000X
Hospitalist Physician
Primary
17559
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100196130B
—
KS
05
—
10027807A
—
KS
01
—
KA2129005
MEDICARE PTAN
KS
Enumeration date
08/13/2006
Last updated
05/12/2014
About Stedi
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