| Dr Jim D Crowley, MD | |
|
1055 N 500 W, Suite 211, Provo, UT 84604-3305 | |
| (801) 357-7327 | |
| (801) 375-8860 |
| Full Name | Dr Jim D Crowley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1055 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083697957 | NPI | - | NPPES |
| 002018585 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 10095 (Nevada) | Secondary |
| 208800000X | Urology | 7420231-1205 (Utah) | Primary |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jim D Crowley, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Dr Jim D Crowley, MD 1055 N 500 W, Suite 211, Provo, UT 84604-3305 Ph: (801) 357-7327 |
Dr. Ronald I Oldroyd, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1055 N 300 W Ste 316, Provo, UT 84604 Phone: 801-357-7530 Fax: 801-357-7566 | |
Jeffrey David Sparenborg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W Ste 301, Provo, UT 84604 Phone: 801-357-7009 Fax: 801-357-8132 | |
Dr. David Kent Harmon, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1760 Oak Ln, Provo, UT 84604 Phone: 801-373-2141 | |
Mckay Platt, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 211, Provo, UT 84604 Phone: 801-357-7327 Fax: 801-375-8860 | |
Dr. Joseph Robert Armstrong, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3291 Piute Dr, Provo, UT 84604 Phone: 801-374-6366 | |
Kyle S Garcia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 211, Provo, UT 84604 Phone: 801-357-7327 Fax: 801-375-8860 |