Individual
DEREK WAYNE CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8985 S PECOS RD STE 4A, HENDERSON, NV 89074-7163
(702) 433-1332
(702) 547-4931
Mailing address
8985 S PECOS RD STE 4A, HENDERSON, NV 89074-7163
(702) 433-1332
(702) 547-4931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A12875
CA
207Q00000X
Family Medicine Physician
Primary
DO2095
NV
Other
Enumeration date
06/02/2011
Last updated
10/04/2021
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