| NPI | 1316012628 |
|---|---|
| Doing Business As | CROSSROADS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH L CRUMP CEO 801-766-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 942752821205) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-01-26 |