Individual provider · Type 1 NPI

Philip Krukow

Physician Assistant · Tooele, UT

NPI number 1962175109 Active

Practice location

30 S Tooele Blvd
Tooele, UT 84074-2093

Call (435) 248-0333 Map

Fax (435) 248-0334

Mailing address

2462 N 720 W
Clinton, UT 84015-9712

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12591198-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

Other physician assistant providers in Tooele

See all in Tooele →

About NPI 1962175109

Philip Krukow's National Provider Identifier is 1962175109, issued on Jul 25, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tooele, UT. The record was last updated on Jan 29, 2026.