Organization
DIAGNOSTIC MEDICAL X RA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM G CROUCH D.O. (PRESIDENT)
(330) 726-6010
Entity
Organization
Contact information
Practice address
8390 TOD AVE, YOUNGSTOWN, OH 44512-6366
(330) 726-6010
(330) 726-6017
Mailing address
PO BOX 3257, YOUNGSTOWN, OH 44513-3257
(330) 726-6010
(330) 726-6017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179131
—
OH
Enumeration date
03/06/2006
Last updated
10/14/2008
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