Organization
EPIC CORPORATION
Active
Other names
ELITE CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN DUNLAP C.R.N.A. (PRESIDENT)
(435) 673-5117
Entity
Organization
Contact information
Practice address
676 S BLUFF ST, ST GEORGE, UT 84770-3596
(435) 673-5117
(435) 652-4604
Mailing address
620 S 400 E, STE 208, ST GEORGE, UT 84770-3700
(435) 673-5117
(435) 652-4604
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
199478-4406
UT
Other
Enumeration date
03/26/2007
Last updated
02/27/2008
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