Individual
ASHLEY ANNE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2380 N 400 E, NORTH LOGAN, UT 84341-6000
(435) 713-9700
Mailing address
PO BOX 96398, OKLAHOMA CITY, OK 73143-6398
(800) 962-3303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6763480-1205
UT
207P00000X
Emergency Medicine Physician
MD2016-0081
NM
Other
Enumeration date
04/11/2013
Last updated
07/21/2022
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