Individual
DONALD SCOTT CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 CROSS ST STE 330, SHILOH, IL 62269
(618) 277-7400
(618) 277-7422
Mailing address
1414 CROSS ST STE 330, SHILOH, IL 62269-2988
(618) 277-7400
(618) 277-7422
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036106785
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106785
—
IL
Enumeration date
05/04/2006
Last updated
10/24/2019
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