Individual
ANDREW EDWARD CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(818) 642-1564
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(818) 642-1564
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A13036
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2012
Last updated
08/01/2016
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