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Evan Crockett, MD
NPI 1093448607 · on the registry since 2022
Practice
- Address
- 30 N Mario Capecchi Dr Rm 4s100
Salt Lake City, UT 84112 - Phone
- (801) 581-2121
- Clinicians at this address
- 189
Additional practice sites
- 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX
Registry record
- Primary taxonomy
- Urology Physician
208800000X
- Also registered as
- Surgery Physician
- Licence states on file
- TX, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah