# ST GEORGE SURGICAL CENTER LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. GEORGE SURGICAL CENTER, L.P.
- **Other names:** St George Surgical Anesthesia Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356444863
- **Legal business name:** ST. GEORGE SURGICAL CENTER, L.P.
- **Authorized official:** CORLAND TY TIPPETS (ADMINISTRATOR)
- **Authorized official phone:** (435) 673-8080

## Contact information

- **Practice address:** 676 S BLUFF ST, ST GEORGE, UT 84770-3596
- **Practice address phone:** (435) 673-8080
- **Practice address fax:** (435) 673-0096
- **Mailing address:** 676 S BLUFF ST, ST GEORGE, UT 84770-3596
- **Mailing address phone:** (435) 673-8080
- **Mailing address fax:** (435) 673-0096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 5566449-1205 | UT | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 09/08/2014