Individual
COLIE CRUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
754 DERBY DR, YORK, AL 36925-2122
(205) 392-5350
(205) 392-4821
Mailing address
754 DERBY DR, YORK, AL 36925-2122
(205) 392-5350
(205) 392-4821
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000025938
—
AL
Enumeration date
08/31/2006
Last updated
09/27/2011
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