Individual
SUSAN CRAWFORD CHORTKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
JOHN A MORAN EYE CTR, 65 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2352
Mailing address
JOHN A MORAN EYE CTR, 65 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2352
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7116185-1205
UT
Other
Enumeration date
10/26/2010
Last updated
11/12/2021
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