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David Crockett
Emergency Medicine Physician in Salt Lake City, Utah
NPI 1104351592

David Crockett is a Emergency Medicine Physician based in Chattanooga, UT. David Crockett practices in Salt Lake City, UT. The NPI Number for David Crockett is 1104351592 and holds a License No. 59020 (Utah).

The current practice location address for David Crockett is University Of Utah School Of Medicine 30 N 1900 E 1C026, Salt Lake City, UT and can be reached out via phone at 801-581-2417.

Location: University Of Utah School Of Medicine 30 N 1900 E 1C026, Salt Lake City, UT, 37403-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104351592
Provider Name
David Crockett
Credential
Provider Entity Type
Individual
Gender
Male
Address
University Of Utah School Of Medicine 30 N 1900 E 1C026, Salt Lake City, UT, 37403-2147
Phone Number
801-581-2417
Fax Number
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
University Of Utah School Of Medicine 30 N 1900 E 1C026
City
Salt Lake City
State
Utah
Zip
84132-2147
Phone Number
801-581-2417
Fax Number
person
Provider Business Mailing Address Details
Address
University Of Utah School Of Medicine 30 N 1900 E 1C026
City
Salt Lake City
State
Utah
Zip
84132-2147
Phone Number
801-581-2417
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
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Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
59020 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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