# JOSEPH D TE MD PC

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

## Provider details

- **NPI number:** 1922292481
- **Authorized official:** DR. JOSEPH DERIT TE M.D. (PRESIDENT)
- **Authorized official phone:** (435) 628-9298

## Contact information

- **Practice address:** 162 S 300 E, ST GEORGE, UT 84770
- **Practice address phone:** (435) 628-9298
- **Practice address fax:** (435) 628-9655
- **Mailing address:** 162 E 300 S, ST GEORGE, UT 84770-3653
- **Mailing address phone:** (435) 628-9298
- **Mailing address fax:** (435) 628-9655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | 3705341205 | UT | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 02/26/2010
