Individual
ERIC LANDON CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1610 DRY CREEK DR, LONGMONT, CO 80503-6405
(303) 772-1600
(970) 493-0521
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
(970) 493-0521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3226
CO
363AS0400X
Surgical Physician Assistant
3226
CO
Other
Enumeration date
06/28/2011
Last updated
06/10/2021
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