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Organization

CROSSOVER HEALTH MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENETTE HUNTER CPCS (SR. MANAGER OF CREDENTIALING)
(971) 500-2661
Entity
Organization

Contact information

Practice address
9350 S 150 E STE 101, SANDY, UT 84070-2702
(971) 500-2661
Mailing address
9350 S 150 E STE 101, SANDY, UT 84070-2702
(971) 500-2661

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193200000X
NONMEDICARE
Enumeration date
12/04/2025
Last updated
12/04/2025
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