Individual
TODD MICHAEL CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
330 FALCON RIDGE PKWY STE 400A, MESQUITE, NV 89027-8881
(435) 628-9393
(435) 628-9382
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13246617-1206
UT
Other
Enumeration date
05/07/2021
Last updated
03/20/2025
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