Crystal Anne Burtis, PHYSICIAN ASSISTANT
Physician Assistant · Logan, UT
Practice location
1624 N 200 E Ste 160Logan, UT 84341-3175
- Phone
- (435) 750-5599
- Fax
- (435) 750-0861
NPI record
- NPI
- 1477067775
- Entity type
- Individual (Type 1)
- Enumeration date
- November 22, 2017
- Last updated
- October 31, 2023
- Certified
- October 31, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
1054788-1206 | UT |
Other practice locations (3)
- 6783 S Redwood Rd Ste 103, West Jordan, UT 84084-5685 · (435) 703-9647
- 1624 N 200 E Ste 160, Logan, UT 84341-3175 · (435) 703-9647
- 6783 S Redwood Rd Ste 102, West Jordan, UT 84084-5696 · (435) 703-9647
About Crystal Burtis
Crystal Anne Burtis, PHYSICIAN ASSISTANT is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1624 N 200 E Ste 160, Logan, UT 84341-3175. The NPI number 1477067775 was assigned on November 22, 2017 and the record was last updated on October 31, 2023.
Crystal Burtis lists a license in the registry: #1054788-1206 (UT) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Crystal Anne Burtis, PHYSICIAN ASSISTANT?
The NPI number is 1477067775.
What is the phone number of Crystal Burtis?
The phone number listed for the practice location is (435) 750-5599.
Where is Crystal Burtis located?
1624 N 200 E Ste 160, Logan, UT 84341-3175.
What is the taxonomy code for Crystal Burtis?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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