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Individual

MRS. KRISTIN CROUGHWELL WASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10299311-1205
UT
207L00000X
Anesthesiology Physician
2015-01681
NC
207L00000X
Anesthesiology Physician
37151
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371519
SC
Enumeration date
04/29/2009
Last updated
02/27/2018
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