Individual
DR. BENJAMIN STEVEN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1055 N 500 W STE 121, PROVO, UT 84604-3305
(801) 373-7350
(801) 812-5401
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101018512
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8836132-1204
UT
Other
Enumeration date
07/08/2008
Last updated
11/27/2023
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