Individual
ANTHONY KOCIELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 WEST 200 NORTH, ST GEORGE, UT 84770-4505
(435) 867-7654
(435) 586-8700
Mailing address
474 WEST 200 NORTH, ST GEORGE, UT 84770-4505
(435) 586-8700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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