Southwest Internal Medicine, P. C. | |
736 S 900 E Suite 104 St George UT 84790-7000 | |
(435) 628-9200 | |
(435) 674-5763 |
Full Name | Southwest Internal Medicine, P. C. |
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Speciality | Internal Medicine |
Location | 736 S 900 E, St George, Utah |
Authorized Official Name and Position | Daniel Bailey Madsen (PRESIDENT) |
Authorized Official Contact | 4356289200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southwest Internal Medicine, P. C. 736 S 900 E Ste 104 St George UT 84790-7000 Ph: (435) 628-9200 | Southwest Internal Medicine, P. C. 736 S 900 E Suite 104 St George UT 84790-7000 Ph: (435) 628-9200 |
NPI Number | 1043204118 |
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Provider Enumeration Date | 09/06/2005 |
Last Update Date | 09/27/2012 |
Medicare PECOS PAC ID | 2365473568 |
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Medicare Enrollment ID | O20050827000098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043204118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph H Woolley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780800813 PECOS PAC ID: 9436222064 Enrollment ID: I20080715000825 |
Provider Name | Joshua L Frame |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437143443 PECOS PAC ID: 9335288315 Enrollment ID: I20091204000127 |
Provider Name | Jason C Swigert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558550731 PECOS PAC ID: 1557541398 Enrollment ID: I20140110001214 |
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