Max Jay Crouch is a Obstetrics in Provo, Utah. Max Jay Crouch practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Max Jay Crouch is 1861569261. The last update date is 2011-12-22.
Max Jay Crouch's current location address is 1055 N 500 W, Provo, Utah. You can contact this provider via phone number 8014654896 and fax number 8014653267. The mailing address for Max Jay Crouch is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Max Jay Crouch |
|---|---|
| Address | 1055 N 500 W, Provo, Utah |
| Phone Number | 8014654896 |
| Fax Number | 8014653267 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861569261 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2011-12-22 |
Provider Mailing Address Detail
| Address | 1055 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043305 |
| Phone Number | 8014654896 |
| Fax Number | 8014653267 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | 181049-1205 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181049-1205 | UT | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Max Jay Crouch by the Centers for Medicare & Medicaid Services?
The Max Jay Crouch has been issued the NPI (National Provider Identifier) 1861569261 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Max Jay Crouch?
The Max Jay Crouch is physically situated at 1055 N 500 W, in the city of Provo, state of UT, with the postal code 846043305.
What is Max Jay Crouch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Max Jay Crouch's area of specialization is Obstetrics, and the corresponding taxonomy code that categorizes this field of practice is 207Vx0000X.
On what date was the 1861569261 assigned to Max Jay Crouch?
The Max Jay Crouch was issued its 1861569261 on 2006-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Max Jay Crouch most recently updated?
The details pertaining to the Max Jay Crouch, including its address, specialty, and other relevant information, were last refreshed on 2011-12-22.