Individual
MR. RICHARD C TEBBS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
544 S 400 E, ST GEORGE, UT 84770-3705
(435) 688-4900
Mailing address
578 CAMBRIDGE DR, ST GEORGE, UT 84770-4059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8251081-1206
UT
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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