# PREMIER HEART & VASCULAR

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

## Provider details

- **NPI number:** 1457222036
- **Authorized official:** RONALD C FRY (OWNER)
- **Authorized official phone:** (435) 900-6001

## Contact information

- **Practice address:** 1841 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-7063
- **Practice address phone:** (435) 900-6001
- **Practice address fax:** (435) 900-6002
- **Mailing address:** 2280 E 3860 S, ST GEORGE, UT 84790-5027
- **Mailing address phone:** (435) 900-6001
- **Mailing address fax:** (435) 900-6002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | NULL | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | — | — |
| 2471C1101X | Cardiovascular-Interventional Technology Radiologic Technologist | — | NULL | — |
| 2471C1101X | Cardiovascular-Interventional Technology Radiologic Technologist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/16/2025
- **Last updated:** 09/16/2025