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Evan A. Crockett, MD
Urology Physician in Salt Lake City, Utah
NPI 1093448607

Evan A. Crockett is a Urology Physician based in Salt Lake City, UT. Evan A. Crockett practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Evan A. Crockett is 1093448607 and holds a License No. BP10080668 (Utah).

The current practice location address for Evan A. Crockett is 30 N Mario Capecchi Dr Rm 4S100, Salt Lake City, UT and can be reached out via phone at 801-581-2121. You can also correspond with Evan A. Crockett through the mailing address at 30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT - 84112 (mailing address contact number: 801-581-2121).

Location: 30 N Mario Capecchi Dr Rm 4S100, Salt Lake City, UT, 84112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093448607
Provider Name
Evan A. Crockett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 N Mario Capecchi Dr Rm 4S100, Salt Lake City, UT, 84112
Phone Number
801-581-2121
Fax Number
Provider Enumeration Date
07/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 N Mario Capecchi Dr Rm 4S100
City
Salt Lake City
State
Utah
Zip
84112
Phone Number
801-581-2121
Fax Number
person
Provider Business Mailing Address Details
Address
30 N Mario Capecchi Dr Rm 4S100
City
Salt Lake City
State
Utah
Zip
84112
Phone Number
801-581-2121
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
13548246-1205 (Utah)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
BP10080668 (Texas)
Definition
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.
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