Individual
MICHELLE R CROYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
(435) 731-8328
Mailing address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
(435) 731-8328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95160449
CA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
13007674-1206
UT
Other
Enumeration date
08/12/2020
Last updated
10/11/2022
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