Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN A. CROCKETT, MD
ActiveEVAN A. CROCKETT, MD is a Urology healthcare provider located in SALT LAKE CITY, Utah. NPI 1093448607 is currently active in the NPPES registry. Verify at CMS.
Urology · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1093448607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2022 (4.1234639196336 yrs)
- Last Updated
- Aug 22, 2023
- Licenses
-
BP10080668 (TX)13548246-1205 (UT)
Practice Information
- Address
-
30 N MARIO CAPECCHI DR RM 4S100SALT LAKE CITY, UT, 84112Browse UT providers · Browse ZIP 84112
- Phone
- 8015812121
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| LISA STOUT | M.D. | 1548263213 |
| GARY BLAKE JOHNSON | MD | 1144223827 |
| BRADLEY J. WATERMAN | MD | 1699718809 |
| DR. WILLIAM O. BRANT | M.D. | 1467478339 |
| MICHAEL W. MANGELSON | M.D. | 1114944790 |
| DR. MICHAEL C. WALLIS | M.D. | 1558384388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.