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Individual

BEAU JAY KUNZLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
600 S MEDICAL CENTER DR, ST GEORGE, UT 84790-8723
(435) 251-4900
Mailing address
970 E 3800 S, WASHINGTON, UT 84780-1381
(435) 287-8698

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
849734
NV
363LF0000X
Family Nurse Practitioner
Primary
9045507-4405
UT

Other

Enumeration date
04/02/2021
Last updated
08/01/2023
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