Organization
ST GEORGE KIDNEY CARE LLC
Active
Other names
Southern Utah Kidney and Hypertension
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VALLE (PRESIDENT)
(781) 699-9362
Entity
Organization
Contact information
Practice address
624 S 1000 E STE 103, ST GEORGE, UT 84790-5902
(435) 652-1135
(435) 652-1190
Mailing address
624 S 1000 E STE 103, ST GEORGE, UT 84790-5902
(435) 652-1135
(435) 652-1190
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001772
—
UT
Enumeration date
02/22/2016
Last updated
07/24/2024
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