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Individual

TIM NOWATZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
383 S 300 E, ST GEORGE, UT 84770-3620
(435) 628-2826
(435) 628-2839
Mailing address
383 S 300 E, ST GEORGE, UT 84770-3620
(435) 628-2826
(435) 628-2839

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
364827-1206
UT

Other

Enumeration date
05/16/2006
Last updated
11/20/2007
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