Organization
DOUGLAS CRUTCHER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS C CRUTCHER M.D. (PHYSICIAN)
(859) 277-9436
Entity
Organization
Contact information
Practice address
1210 KY HWY 36E, CYNTHIANA, KY 41031-7490
(859) 277-9436
(859) 277-1765
Mailing address
870 CORPORATE DR, SUITE 400, LEXINGTON, KY 40503-5416
(859) 277-9436
(859) 277-1765
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22755
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931057
—
KY
Enumeration date
03/28/2007
Last updated
05/07/2008
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