Individual
CRYSTAL D WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0002
(801) 581-6255
(801) 585-6005
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0002
(801) 581-3050
(801) 581-8446
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2013032885
MO
363AS0400X
Surgical Physician Assistant
2013032885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013032885
MISSOURI STATE LICENSE
MO
01
—
9126823-8906
STATE LICENSE
UT
Enumeration date
09/09/2013
Last updated
05/16/2022
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