Individual
DR. DAVID THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC, PMHS
Contact information
Practice address
640 E 700 S STE 205A, ST GEORGE, UT 84770-4023
(435) 772-2633
Mailing address
2779 S 3350 W, HURRICANE, UT 84737-3540
(435) 772-2633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11146586-4405
UT
Other
Enumeration date
10/19/2022
Last updated
11/05/2024
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