Individual
ELIJAH ADAM FIELDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 N 100 E STE 102, ST GEORGE, UT 84770-7369
(435) 986-2565
Mailing address
64 N CHARBONNE DR, ST GEORGE, UT 84770-1677
(435) 817-5625
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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