NPI 1083697957

Jim D Crowley, MD

Practitioner Urology Physician Provo, UT

Practice location

Address: 1055 N 500 W Suite 211, Provo, UT 84604-3305
Phone: (801) 357-7327
Fax: (801) 375-8860
Mailing address: 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 7420231-1205 (UT)

Other Urology providers in Utah →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 10095 (NV)

Registry record

NPI: 1083697957
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2005
Record last updated: 22 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.