Individual
DANNY CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1138 WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 213-9400
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
281375-1206
UT
Other
Enumeration date
10/13/2006
Last updated
01/29/2014
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