Organization
LYNN R NIMER, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN JONES (OFFICE MANAGER)
(435) 251-2150
Entity
Organization
Contact information
Practice address
1380 EAST MEDICAL CENTER STE 3500, ST. GEORGE, UT 84790-2123
(435) 251-2150
(435) 251-2151
Mailing address
1380 E MEDICAL CENTER DR STE 3500, ST GEORGE, UT 84790-2138
(435) 251-2150
(435) 251-2151
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1787801205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011708
MEDICARE
—
Enumeration date
09/27/2012
Last updated
12/28/2012
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