Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Anne Burtis, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1477067775

Crystal Anne Burtis, PHYSICIANASSISTANT is a Physician Assistant in Logan, Utah. Practices as a sole proprietor and works from 4 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2017
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Practice location Address checks out

1624 N 200 E Ste 160
Logan, UT 84341-3175
Phone: (435) 750-5599
Fax: (435) 750-0861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 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
  • 6783 S Redwood Rd Ste 103, West Jordan, UT 84084-5685 — (435) 703-9647

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1054788-1206 (UT)

Record details

NPI number1477067775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedNovember 22, 2017
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address1624 N 200 E Ste 160, Logan, UT 84341-3175

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