# RETINA ASSOCIATES OF SOUTHERN UTAH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326307083
- **Authorized official:** GAYEA ESPLIN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (435) 216-7032

## Contact information

- **Practice address:** 585 E RIVERSIDE DRIVE, SUITE 201, ST GEORGE, UT 84790
- **Practice address phone:** (435) 216-7032
- **Practice address fax:** (866) 836-9639
- **Mailing address:** PO BOX 911810, ST GEORGE, UT 84791-1810
- **Mailing address phone:** (435) 216-7032
- **Mailing address fax:** (866) 836-9639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 12/09/2022