Individual
BRUCE A MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 628-9393
(435) 628-9382
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
363A00000X
Physician Assistant
Primary
2151681206
UT
363A00000X
Physician Assistant
PA852
NV
363AS0400X
Surgical Physician Assistant
2151681206
UT
363AS0400X
Surgical Physician Assistant
PA852
NV
Other
Enumeration date
12/28/2005
Last updated
03/27/2025
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