NPI 1003845405

John a Crouch, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Jefferson City, MO

Practice location

Address: 200 Saint Marys Medical Plz Suite 203, Jefferson City, MO 65101-1604
Phone: (573) 761-7243
Fax: (573) 761-7196

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 34746 (MO)

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Registry record

NPI: 1003845405
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 28 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.