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PHASE II ST GEORGE INC NPI 1912186289


NPI Information

NPI: 1912186289
Provider Name: PHASE II ST GEORGE INC
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
230 N 1680 E
BLDG I
ST GEORGE, UT
ZIP 84790
Phone: (435) 627-2978
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PHASE II ST GEORGE INC is a gynecologic oncology obstetrics gynecology in St George, UT. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. PHASE II ST GEORGE INC NPI is 1912186289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 N 1680 E
BLDG I
ST GEORGE, UT
ZIP 84790-579
Phone: (435) 627-2978

The provider's authorized official is Elizabeth S Graul .
The authorized official title is Owner and has the following contact phone number (801) 502-9024.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 4/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic Oncology2751391205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000058012OTHERUTAHMEDICARE GROUP ID NUMBER
2F79887MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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