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Individual

ANDREW KENNETH ENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 628-9393
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0116034959
VA
207X00000X
Orthopaedic Surgery Physician
12699267-1205
UT
207X00000X
Orthopaedic Surgery Physician
MMD.39395 LL
SC
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
12699267-1205
UT

Other

Enumeration date
06/02/2016
Last updated
03/25/2025
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