Individual
DR. MARK D CROUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
219 MCLAWS CIR, WILLIAMSBURG, VA 23185-5649
(757) 259-1122
(757) 259-1123
Mailing address
219 MCLAWS CIR, WILLIAMSBURG, VA 23185-5649
(757) 259-1122
(757) 259-1123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007252
NY
111NX0800X
Orthopedic Chiropractor
Primary
1199
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195038
ANTHEM BLUE CROSS
VA
01
—
7967114001
CIGNA
VA
Enumeration date
06/07/2006
Last updated
11/10/2010
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