KODY R CROWELL

SOUTH JORDAN, UT
NPI1508158361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: UT  84364811205)
Enumeration Date2011-05-11
Last Update Date2017-04-27
Business Address
-- KODY R CROWELL
1268 W SOUTH JORDAN PKWY STE 201 #201
SOUTH JORDAN, UT 84095-4653
Phone number: 801-254-9700
Mailing Address
-- KODY R CROWELL
14256 S SOLEMN WAY
HERRIMAN, UT 84096-3584
Phone number: 435-760-3619
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