Joshua Lewis Crockett, PA-C

NPI #1619559960 in Provo, Utah

Provider Information

NPI Number: 1619559960
Entity Type: Individual
Name: Joshua Lewis Crockett, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 26, 2021
Last Updated: Jul 17, 2025

Practice Location

Address: 1157 N 300 W STE 201
City: Provo
State: Utah
ZIP Code: 84604-6124
Phone: (801) 357-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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