Individual
MR. JASON EUGENE CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
RR 3 BOX 3616, MYTON, UT 84052-9732
(435) 640-2697
Mailing address
RR 3 BOX 3616, MYTON, UT 84052-9732
(435) 640-2697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6993029-4405
UT
363L00000X
Nurse Practitioner
APN001529
NV
Other
Enumeration date
05/16/2013
Last updated
06/14/2013
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