Organization
SOUTHWEST SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD A MYERS MD (PRESIDENT)
(435) 628-1641
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR STE 200, ST GEORGE, UT 84790-4496
(435) 628-1641
(435) 628-1660
Mailing address
1490 E FOREMASTER DR STE 200, ST GEORGE, UT 84790-4496
(435) 628-1641
(435) 628-1660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
184553-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528433690006
—
UT
05
—
528529446009
—
UT
05
—
528940456004
—
UT
05
—
529236247001
—
UT
05
—
574544974008
—
UT
Enumeration date
11/15/2006
Last updated
08/22/2020
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