# CORNER CLINIC ST GEORGE LLC

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

## Provider details

- **NPI number:** 1629568209
- **Authorized official:** SHANE WHITTIER (COO)
- **Authorized official phone:** (435) 709-8786

## Contact information

- **Practice address:** 2351 S RIVER RD UNIT 5, ST GEORGE, UT 84790-8280
- **Practice address phone:** (435) 659-7352
- **Mailing address:** 2351 S RIVER RD UNIT 5, ST GEORGE, UT 84790-8280
- **Mailing address phone:** (435) 659-7352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2018
- **Last updated:** 08/05/2022