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Individual

EARL RUSSELL CROUCH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4665 SOUTH BLVD, VIRGINIA BEACH, VA 23452-1055
(757) 461-0050
(757) 461-4538
Mailing address
4665 SOUTH BLVD, VIRGINIA BEACH, VA 23452-1055
(757) 461-0050
(757) 461-4538

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101236715
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010079543
VA
Enumeration date
10/12/2006
Last updated
10/17/2018
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