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Organization
ADVANCED FAMILY MEDICINE, LLC
Active
Organization
ADVANCED FAMILY MEDICINE, LLC
Active
Parent organization
ADVANCED FAMILY MEDICINE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED FAMILY MEDICINE, LLC
Authorized official
ROGER A RUSSELL DC (CLINIC ADMINISTRATOR)
(435) 656-0234
Entity
Organization
Contact information
Practice address
619 S BLUFF ST, TOWER 1 SUITE 100, ST GEORGE, UT 84770-3853
(435) 656-0234
(435) 656-2622
Mailing address
619 S BLUFF ST, TOWER 1 SUITE 100, ST GEORGE, UT 84770-3853
(435) 656-0234
(435) 656-2622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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