NPI 1477556280 · live from the CMS NPI Registry
Charles Allen Crouch, M.D.
Radiology, Diagnostic Radiology in Spencer, IA. National Provider Identifier 1477556280, active.
NPI record
| NPI | 1477556280 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1200 1st Ave E, Suite C, Spencer, IA 51301 |
| Practice phone | 712-262-7511 |
| Enumerated | May 24, 2005 |
| Last updated | April 18, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 28570 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.