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1700866290
JAY M. CRUTCHFIELD
MERIDIAN, ID
NPI
1700866290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: AZ 21253)
Enumeration Date
2006-01-19
Last Update Date
2020-08-21
Business Address
JAY M. CRUTCHFIELD MD FACS
1401 E CENTRAL DR
MERIDIAN, ID 83642-8046
Phone number: 208-795-4382
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Mailing Address
JAY M. CRUTCHFIELD MD FACS
1401 E CENTRAL DR
MERIDIAN, ID 83642-8046
Phone number: 208-795-4382
Copy
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