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Contact Information

ANDRE CROUCH, MD
5121 S COTTONWOOD ST
MURRAY, UT84107-5701
 Phone: 801-507-9700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANDRE CROUCH · (Male)

NPI # 1255357927
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 05/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5758867-1205
  • UT License # 57588671205
Hospital affiliation(s)
  • ALTA VIEW HOSPITAL - (Acute Care)
    9660 SOUTH 1300 EAST
    SANDY, UT 84094
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
  • RIVERTON HOSPITAL - (Acute Care)
    3741 WEST 12600 SOUTH
    RIVERTON, UT 84065
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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