SearchNebraska101YM0800X

Samuel Crouch, PLADC

NPI 1619452943 · on the registry since 2018

Practice

Address
921 W 36th St
Scottsbluff, NE 69361
Phone
(308) 225-0500
Clinicians at this address
2

Additional practice sites

  • 1509 1st Ave, Scottsbluff, NE

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska