# CORNER CLINIC SNOW CANYON LLC

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

## Provider details

- **NPI number:** 1952041048
- **Authorized official:** SHANE WHITTIER (COO)
- **Authorized official phone:** (435) 659-7352

## Contact information

- **Practice address:** 1930 W SUNSET BLVD STE 94, ST GEORGE, UT 84770-6792
- **Practice address phone:** (435) 375-0140
- **Mailing address:** 380 E MAIN ST BLDG B2ND, MIDWAY, UT 84049-6801
- **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:** 03/29/2022
- **Last updated:** 08/05/2022