Individual
PHILIP KRUKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 S TOOELE BLVD, TOOELE, UT 84074-2093
(435) 248-0333
(435) 248-0334
Mailing address
2462 N 720 W, CLINTON, UT 84015-9712
(801) 668-2901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12591198-1206
UT
Other
Enumeration date
07/25/2021
Last updated
01/29/2026
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