Individual
MR. ROBERT J CROUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 285-0141
Mailing address
PO BOX 2844, CLOVIS, CA 93613-2844
(559) 285-0141
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G60698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF724Y
MEDICARE
CA
01
—
DF724Z
MEDICARE
CA
Enumeration date
08/29/2006
Last updated
04/13/2012
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