Individual
EUGENE CROWTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
939 N D ST, SAN BERNARDINO, CA 92410-3519
(909) 889-6519
Mailing address
PO BOX 2633, SAN BERNARDINO, CA 92406-2633
(909) 202-7721
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
01/28/2021
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