Provider Demographics
NPI:1679342935
Name:CROUCH, TRENTON (CAA)
Entity Type:Individual
Prefix:
First Name:TRENTON
Middle Name:
Last Name:CROUCH
Suffix:
Gender:M
Credentials:CAA
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Mailing Address - Street 1:3144 CHEROKEE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE RIDGE
Mailing Address - State:AL
Mailing Address - Zip Code:35175-7934
Mailing Address - Country:US
Mailing Address - Phone:256-560-5397
Mailing Address - Fax:
Practice Address - Street 1:721 MADISON ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4408
Practice Address - Country:US
Practice Address - Phone:256-533-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant