Individual
CRYSTAL ANNE BURTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1624 N 200 E STE 160, LOGAN, UT 84341-3175
(435) 750-5599
(435) 750-0861
Mailing address
1624 N 200 E STE 160, LOGAN, UT 84341-3175
(435) 750-5599
(435) 750-0861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1054788-1206
UT
Other
Enumeration date
11/22/2017
Last updated
10/31/2023
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