Individual
MICHAEL E CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5405 S 500 E, SUITE #204, OGDEN, UT 84405-6957
(801) 479-0184
(801) 479-5642
Mailing address
520 MEDICAL DR, SUITE #310, BOUNTIFUL, UT 84010-4968
(801) 397-3000
(801) 397-0455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
323415-1205
UT
207RI0011X
Interventional Cardiology Physician
Primary
323415-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477643179
GROUP NPI
UT
Enumeration date
09/19/2005
Last updated
09/30/2021
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