Individual
MICAH ELDREDGE CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-2888
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-2888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9259937-1205
UT
2084P0800X
Psychiatry Physician
MD60392322
WA
Other
Enumeration date
04/14/2011
Last updated
09/08/2021
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