| Tko Aesthesia | |
|
754 S Main St Ste 3&4 Saint George UT 84770-5504 | |
| (435) 628-2671 | |
| Not Available |
| Full Name | Tko Aesthesia |
|---|---|
| Speciality | Clinic/center |
| Location | 754 S Main St Ste 3&4, Saint George, Utah |
| Authorized Official Name and Position | Jack Bradley Waters (MANAGER) |
| Authorized Official Contact | 4357735585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tko Aesthesia 1401 N 2200 W Saint George UT 84770-5756 Ph: (435) 773-5585 | Tko Aesthesia 754 S Main St Ste 3&4 Saint George UT 84770-5504 Ph: (435) 628-2671 |
| NPI Number | 1386223683 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386223683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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