Organization
TERRENCE W CROUCH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE WAYNE CROUCH MD (PHYSICIAN OWNER)
(619) 267-1556
Entity
Organization
Contact information
Practice address
655 EUCLID AVE, SUITE 401, NATIONAL CITY, CA 91950
(619) 267-1556
(619) 267-2420
Mailing address
655 EUCLID AVE, SUITE 401, NATIONAL CITY, CA 91950
(619) 267-1556
(619) 267-2420
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G47259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G472590
—
CA
Enumeration date
11/30/2006
Last updated
01/14/2011
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