Individual
CHARLES BRENDEN CROUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 LEITER RD, MIAMISBURG, OH 45342-3600
(937) 384-6800
Mailing address
2115 LEITER RD, MIAMISBURG, OH 45342-3600
(937) 384-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TLL-2024-001
GU
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
01/30/2024
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