Individual
MEGAN ELLICE CROOKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3556 W 9800 S STE 101, SOUTH JORDAN, UT 84095-3221
(801) 567-9780
(801) 567-9826
Mailing address
3556 W 9800 S STE 101, SOUTH JORDAN, UT 84095-3221
(801) 567-9780
(801) 567-9826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9551758-1206
UT
Other
Enumeration date
09/25/2014
Last updated
04/29/2022
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