| Pacific Medical Associates Pc | |
|
321 N Mall Dr Ste I102 St George UT 84790-7322 | |
| (435) 628-3651 | |
| (435) 674-7112 |
| Full Name | Pacific Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 N Mall Dr Ste I102, St George, Utah |
| Authorized Official Name and Position | Michael Alan Codiga (PRESIDENT) |
| Authorized Official Contact | 4356283651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medical Associates Pc 321 N Mall Dr Ste I102 St George UT 84790-7322 Ph: (435) 628-3651 | Pacific Medical Associates Pc 321 N Mall Dr Ste I102 St George UT 84790-7322 Ph: (435) 628-3651 |
| NPI Number | 1912307901 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 11/14/2024 |
| Medicare PECOS PAC ID | 4587884655 |
|---|---|
| Medicare Enrollment ID | O20141013002294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912307901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Alan Codiga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306888219 PECOS PAC ID: 8820043433 Enrollment ID: I20050316000923 |
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