Individual
KODY R CROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 W SOUTH JORDAN PKWY STE 201, #201, SOUTH JORDAN, UT 84095-4653
(801) 254-9700
Mailing address
14256 S SOLEMN WAY, HERRIMAN, UT 84096-3584
(435) 760-3619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84364811205
UT
Other
Enumeration date
05/11/2011
Last updated
04/27/2017
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