Individual
ADAM R KROMMENHOEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 373-7850
Mailing address
PO BOX 10, SPANISH FORK, UT 84660-0010
(866) 898-7136
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
58244501205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58244501200001
BCBS
—
05
—
D6138
—
UT
01
—
P00249192
RAILROAD MEDICARE
—
Enumeration date
05/28/2006
Last updated
11/21/2010
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