| |
1085 S Bluff St Ste 200 Saint George UT 84770-5245 | |
(435) 218-7778 | |
(435) 275-0156 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1085 S Bluff St Ste 200, Saint George, Utah |
Authorized Official Name and Position | Ashley Pfatenhauer (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4352150230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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652 S Medical Center Dr Ste 110 Saint George UT 84790-7077 Ph: (435) 215-0230 | 1085 S Bluff St Ste 200 Saint George UT 84770-5245 Ph: (435) 218-7778 |
NPI Number | 1508368465 |
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Provider Enumeration Date | 03/06/2018 |
Last Update Date | 03/06/2018 |
Identifier | Type | State | Issuer |
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1508368465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Utah) | Primary |
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