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Organization

ABBY N CRUME DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENT MEACHAM (MANAGER)
(801) 476-9200
Entity
Organization

Contact information

Practice address
1250 E 3900 S, STE 320, SALT LAKE CITY, UT 84124-1348
(801) 263-1621
(801) 263-1647
Mailing address
1250 E 3900 S, STE 320, SALT LAKE CITY, UT 84124-1348
(801) 263-1621
(801) 263-1647

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
8907753-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03201982
OWNERS DOB
Enumeration date
01/11/2016
Last updated
03/15/2017
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