Jack L. Croughan Inc
Jack L. Croughan Inc is an Addiction Medicine (Psychiatry & Neurology) Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1034 S Brentwood Blvd Ste 970Saint Louis, MO 63117-1223
Phone: (314) 725-4004
Fax: (314) 725-4004
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence R5543 (MO) |
|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084A0401X · Licence R5543 (MO) |
Record details
| NPI number | 1982928065 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Croughan — President · (314) 725-4004 |
| NPI enumerated | March 18, 2010 |
| Last updated in NPPES | March 18, 2010 |
| Mailing address | 1034 S Brentwood Blvd, Suite 970, Saint Louis, MO 63117-1223 |
Other providers in Saint Louis
-
Ashok R Mallya, MD
915 N Grand Blvd, Saint Louis, MO 63106-1621 · (314) 652-4100