Individual
RONALD H. CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 HIDDEN CYN PKWY, BAKER, NV 89311-0180
(775) 234-7172
Mailing address
PO BOX 180, BAKER, NV 89311-0180
(775) 234-7172
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
165247-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005575201
HUMANA PROVIDER #
UT
01
—
107006720104
IHC PROVIDER #
UT
01
—
19834
DMBA PROVIDER #
UT
01
—
340019513
RR MCARE PROVIDER #
UT
01
—
77402
PEHP PROVIDER #
UT
01
—
870562879CR1
EMIA PROVIDER #
UT
01
—
QM0000076518
ALTIUS PROVIDER #
—
Enumeration date
06/09/2006
Last updated
09/08/2021
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