# EDWARD J PRINCE, MD PC

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

## Provider details

- **NPI number:** 1558546226
- **Authorized official:** EDWARD J PRINCE M.D. (OWNER)
- **Authorized official phone:** (435) 628-9393

## Contact information

- **Practice address:** 1490 E FOREMASTER DR, \#150, ST GEORGE, UT 84790-4488
- **Practice address phone:** (435) 628-9393
- **Practice address fax:** (435) 628-9382
- **Mailing address:** 1490 E FOREMASTER DR, \#150, ST GEORGE, UT 84790-4488
- **Mailing address phone:** (435) 628-9393
- **Mailing address fax:** (435) 628-9382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 58209071205 | UT | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 12/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529399894002 | — | UT |