Individual provider · Type 1 NPI

Evan A. Crockett, MD

Urology Physician · Salt Lake City, UT

NPI number 1093448607 Active

Practice location

30 N Mario Capecchi Dr Rm 4S100
Salt Lake City, UT 84112

Call (801) 581-2121 Map

Other practice locations

  • 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX 78234-4504 · (907) 310-6267

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XBP10080668 (TX)
Urology Physician Primary 208800000X13548246-1205 (UT)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

24 other providers at this address

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About NPI 1093448607

Evan A. Crockett, MD's National Provider Identifier is 1093448607, issued on Jul 1, 2022. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 22, 2023.