Organization
EAGLE MOUNTAIN FAMILY MEDICINE. LLC
Active
Other names
Crossroads Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L CRUMP MD (CEO)
(801) 766-2121
Entity
Organization
Contact information
Practice address
1305 N COMMERCE DR, SUITE 120, SARATOGA SPRINGS, UT 84045-5305
(801) 766-2121
(801) 768-2612
Mailing address
811 NORTH 500 WEST, OREM, UT 84057-7701
(801) 434-7600
(801) 434-7604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
942752821205
UT
Other
Enumeration date
11/21/2006
Last updated
01/26/2011
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