Individual
ADAM G CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8390 TOD AVE, YOUNGSTOWN, OH 44512-6366
(330) 629-8880
(330) 629-9181
Mailing address
10655 WASHINGTONVILLE RD, CANFIELD, OH 44406-9448
(330) 726-6010
(330) 726-6017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34-00-6305C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179131
—
OH
Enumeration date
08/28/2006
Last updated
07/09/2007
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