Healthcare Provider Details

I. General information

NPI: 1518874064
Provider Name (Legal Business Name): MERRIT CRUMP M.D.PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W 24TH ST
YUMA AZ
85364-6384
US

IV. Provider business mailing address

901 W 24TH ST
YUMA AZ
85364-6384
US

V. Phone/Fax

Practice location:
  • Phone: 928-726-5000
  • Fax: 866-691-1455
Mailing address:
  • Phone: 928-726-5000
  • Fax: 886-691-1455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MERRIT CRUMP
Title or Position: OWNER
Credential: M.D
Phone: 928-304-8545