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Mr. Charles William Crouse, CRT
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Mateo, California
NPI 1093846479

Charles William Crouse is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in San Mateo, CA. Charles William Crouse practices in San Mateo, CA and has the professional credentials of CRT. The NPI Number for Charles William Crouse is 1093846479 and holds a License No. RHT3605 (California).

The current practice location address for Charles William Crouse is 801 Maple St, San Mateo, CA and can be reached out via phone at 650-347-1880.

Location: 801 Maple St, San Mateo, CA, 94402-2302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093846479
Provider Name
Charles William Crouse
Credential
CRT
Provider Entity Type
Individual
Gender
Male
Address
801 Maple St, San Mateo, CA, 94402-2302
Phone Number
650-347-1880
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ31682Z 05 CA
institution
Provider Business Practice Location Address Details
Address
801 Maple St
City
San Mateo
State
California
Zip
94402-2302
Phone Number
650-347-1880
Fax Number
person
Provider Business Mailing Address Details
Address
801 Maple St
City
San Mateo
State
California
Zip
94402-2302
Phone Number
650-347-1880
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
RHT3605 (California)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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