Individual
PETER FREDRICK CROSSNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 COTTONWOOD ST, INTERMOUNTAIN MEDICAL CENTER RICU, MURRAY, UT 84107-5701
(801) 507-5492
Mailing address
5121 COTTONWOOD ST, INTERMOUNTAIN MEDICAL CENTER RICU, MURRAY, UT 84107-5701
(801) 507-5492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5413984-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5413984-1205
UT
207RP1001X
Pulmonary Disease Physician
5413984-1205
UT
Other
Enumeration date
01/04/2007
Last updated
08/04/2021
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