Provider Demographics
NPI:1285868059
Name:CRUME, ABBY N (DO)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:N
Last Name:CRUME
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1250 E 3900 S
Mailing Address - Street 2:STE 320
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1348
Mailing Address - Country:US
Mailing Address - Phone:801-263-1621
Mailing Address - Fax:801-263-1647
Practice Address - Street 1:1250 E 3900 S
Practice Address - Street 2:STE 320
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1348
Practice Address - Country:US
Practice Address - Phone:801-263-1621
Practice Address - Fax:801-263-1647
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2017-03-15
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Provider Licenses
StateLicense IDTaxonomies
UT8907753-1204208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U000092264Medicare Oscar/Certification