Evan A. Crockett, MD
NPI #1093448607 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1093448607
- Entity Type
- Individual
- Name
- Evan A. Crockett, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Urology
- Credential
- MD
- Enumeration Date
- Jul 1, 2022
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 30 N MARIO CAPECCHI DR RM 4S100
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84112
- Phone
- (801) 581-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Urology |
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