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Organization

ST. GEORGE CHILDREN & FAMILY PSYCHIATRIC CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CANTRIL NIELSEN M.D. (OWNER)
(435) 652-1897
Entity
Organization

Contact information

Practice address
230 N 1680 E STE H1, SAINT GEORGE, UT 84790-2584
(435) 652-1897
(435) 652-5909
Mailing address
230 N 1680 E STE H1, SAINT GEORGE, UT 84790-2584
(435) 652-1897
(435) 652-5909

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1494471205
UT
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
68747874408
UT

Other

Enumeration date
07/13/2011
Last updated
09/02/2015
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