| Utah Provider Group | |
|
1506 S Silicon Way Ste 2b Saint George UT 84770-7153 | |
| (888) 920-7526 | |
| Not Available |
| Full Name | Utah Provider Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1506 S Silicon Way Ste 2b, Saint George, Utah |
| Authorized Official Name and Position | Nathan Udy (MANAGER) |
| Authorized Official Contact | 4355150088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Provider Group 1506 S Silicon Way Ste 2b Saint George UT 84770-7153 Ph: (888) 920-7526 | Utah Provider Group 1506 S Silicon Way Ste 2b Saint George UT 84770-7153 Ph: (888) 920-7526 |
| NPI Number | 1083461917 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083461917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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