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DIABETES AND WOUND CARE CLINIC OF ST GEORGE NPI 1962974493


NPI Information

NPI: 1962974493
Provider Name: DIABETES AND WOUND CARE CLINIC OF ST GEORGE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1054 E RIVERSIDE DR STE 201
ST GEORGE, UT
ZIP 84790
Phone: (435) 574-5123
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DIABETES AND WOUND CARE CLINIC OF ST GEORGE is a family medicine in St George, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DIABETES AND WOUND CARE CLINIC OF ST GEORGE NPI is 1962974493. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1054 E RIVERSIDE DR STE 201
ST GEORGE, UT
ZIP 84790-829
Phone: (435) 574-5123
Fax: (435) 634-8894

The provider's authorized official is Jamie Knight .
The authorized official title is Partner and has the following contact phone number (801) 860-9240.

The enumeration date for this NPI number is 12/21/2018 and was last updated on 6/11/2020.


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
1207Q00000XFamily MedicineYes

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
13010016MEDICAIDUTAH

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: 4/28/2024

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