Individual
JAMES ROY CROUCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 964-4178
(479) 964-5910
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C-7680
AR
208M00000X
Hospitalist Physician
Primary
C-7680
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121448001
—
AR
Enumeration date
04/26/2006
Last updated
08/22/2023
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