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Individual

CRIS COWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5121 S COTTONWOOD STREET, MURRAY, UT 84157
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
78-162414-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001562600
ID
05
100501255
NV
05
104832500
WY
01
107004991101
IHC
UT
01
1502954
UMWA
UT
01
18961
DESERET MUTUAL
UT
01
2090168
UNITED HEALTHCARE
UT
05
325094
AZ
01
37779
PEHP
UT
01
53231
HEALTHY U
UT
01
8597445
WORKERS COMP FUND
UT
01
870545614CO2
EDUCATORS MUTUAL
UT
01
QM0000075886
ALTIUS
UT
01
TPRA09325
MOLINA
UT
Enumeration date
08/05/2006
Last updated
10/15/2012
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