Individual
JEFFREY A. MANWARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
1490 EAST FOREMASTER DRIVE, SUITE 140, ST GEORGE, UT 84790-4488
(435) 688-2456
(435) 986-4096
Mailing address
1490 E FOREMASTER DR, SUITE 140, ST GEORGE, UT 84790-4488
(435) 688-2456
(435) 986-4096
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
263454-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000057179
—
UT
Enumeration date
12/23/2005
Last updated
09/21/2011
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