Organization
CROUGH PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON THOMAS CROUGH DPM (PODIATRIST)
(760) 507-2070
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR, SUITE 201, PALM SPRINGS, CA 92262-4800
(760) 416-4511
Mailing address
777 E TAHQUITZ CANYON WAY, SUITE 200-096, PALM SPRINGS, CA 92262-6784
(760) 507-2070
(760) 507-2071
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5290
CA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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