Individual
ANDRE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-9700
Mailing address
PO BOX 571117, MURRAY, UT 84157-1117
(801) 507-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5758867-1205
UT
207R00000X
Internal Medicine Physician
57588671205
UT
208M00000X
Hospitalist Physician
5758867-1205
UT
Other
Enumeration date
07/14/2006
Last updated
05/16/2015
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