Crystal Anne Burtis, PHYSICIAN ASSISTANT

NPI #1477067775 in Logan, Utah

Provider Information

NPI Number: 1477067775
Entity Type: Individual
Name: Crystal Anne Burtis, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Nov 22, 2017
Last Updated: Oct 31, 2023

Practice Location

Address: 1624 N 200 E STE 160
City: Logan
State: Utah
ZIP Code: 84341-3175
Phone: (435) 750-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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