NPI 1093448607

Evan A. Crockett, MD

Practitioner Urology Physician Salt Lake City, UT

Practice location

Address: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112
Phone: (801) 581-2121

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 13548246-1205 (UT)

Other Urology providers in Utah →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence BP10080668 (TX)

Other Surgery providers in Utah →

Registry record

NPI: 1093448607
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2022
Record last updated: 22 Aug 2023

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.