# EAGLE MOUNTAIN FAMILY MEDICINE. LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crossroads Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316012628
- **Authorized official:** KENNETH L CRUMP MD (CEO)
- **Authorized official phone:** (801) 766-2121

## Contact information

- **Practice address:** 1305 N COMMERCE DR, SUITE 120, SARATOGA SPRINGS, UT 84045-5305
- **Practice address phone:** (801) 766-2121
- **Practice address fax:** (801) 768-2612
- **Mailing address:** 811 NORTH 500 WEST, OREM, UT 84057-7701
- **Mailing address phone:** (801) 434-7600
- **Mailing address fax:** (801) 434-7604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 942752821205 | UT | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 01/26/2011