Organization
SUBURBAN RADIOLOGY LIMI
Active
Organization
SUBURBAN RADIOLOGY LIMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM G CROUCH DO (OWNER)
(330) 726-6010
Entity
Organization
Contact information
Practice address
10655 WASHINGTONVILLE RD, CANFIELD, OH 44406-9448
(330) 726-6010
(330) 726-6017
Mailing address
PO BOX 14280, YOUNGSTOWN, OH 44514-7280
(330) 726-6010
(330) 726-6017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34006305C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179131
—
OH
Enumeration date
05/13/2006
Last updated
10/15/2007
Update your record
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