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Philip Krukow
NPI 1962175109 · on the registry since 2021
Practice
- Address
- 30 S Tooele Blvd
Tooele, UT 84074 - Phone
- (435) 248-0333
- Fax
- (435) 248-0334
- Organisation at this address
- Patrick Green Md Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-29
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