Organization
PULMONARY & SLEEP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL P HALLENBORG MD (OWNER/PHYSICIAN)
(435) 669-7046
Entity
Organization
Contact information
Practice address
2019 E RIVERSIDE DR, ST GEORGE, UT 84790-8134
(435) 656-1699
(435) 656-1699
Mailing address
2019 E RIVERSIDE DR, ST GEORGE, UT 84790-8134
(435) 656-1699
(435) 656-1699
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
6996337-1205
UT
Other
Enumeration date
11/03/2015
Last updated
03/31/2016
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