Individual
DR. CHARLES ALLEN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 1ST AVE E, SUITE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Mailing address
1200 1ST AVE E, SUITE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28570
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5118760
—
IA
Enumeration date
05/24/2005
Last updated
04/18/2012
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