Peter Fredrick Crossno
Internist Pulmonary Disease Critical Care Medicine
5121 Cottonwood St Intermountain Medical Center Ricu
Murray
, Utah 84107-5701
Peter Fredrick Crossno
Internist Pulmonary Disease Critical Care Medicine
5121 Cottonwood St Intermountain Medical Center Ricu
Murray
, Utah 84107-5701
(801) 507-5492
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Peter Fredrick Crossno
- 5121 Cottonwood St Intermountain Medical Center Ricu
- Murray, UT
- Zip : 84107-5701
- Phone : (801) 507-5492
Second Address
- Peter Fredrick Crossno
- 5121 Cottonwood St Intermountain Medical Center Ricu
- Murray, UT
- Zip : 84107-5701
- Phone : (801) 507-5492
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 5413984-1205 | UT |
| N | 111NI0900X | Internist | 5413984-1205 | UT |
| Y | 207RC0200X | Critical Care Medicine | 5413984-1205 | UT |
| N | 207RP1001X | Pulmonary Disease | 5413984-1205 | UT |
National Provider Identifier
| NPI | 1083761936 |
|---|---|
| Provider Name | Peter Fredrick Crossno |
| First Address | Murray, UT 84107-5701 |
| Second Address | Murray, UT 84107-5701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2007 |
| Last Update Date | 04/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.