Individual
CHARISMA O PINNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 S 300 E, SUITE 101, ST GEORGE, UT 84770-3900
(435) 688-8413
(435) 673-4045
Mailing address
515 S 300 E, SUITE 101, ST GEORGE, UT 84770-3900
(435) 688-8413
(435) 673-4045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
55256331205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2300148
UNITED HEALTH CARE
UT
01
—
233290
ALTIUS
UT
01
—
51216
PEHP
UT
01
—
55256331200001
BLUE CROSS
UT
01
—
7509310
AETNA
UT
01
—
P00275005
RAILROAD MEDICARE
UT
Enumeration date
04/10/2006
Last updated
04/12/2011
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