Individual
MR. JOHN WILLIAM CROUCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 262-2150
Mailing address
3323 SAGAMON AVE, KETTERING, OH 45429-3619
(937) 293-1099
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001797L
PA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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