Individual
JAMIE SUSANNE VANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1240 E 100 S STE 14, ST GEORGE, UT 84790-3005
(435) 628-8232
(435) 674-7994
Mailing address
1240 E 100 S STE 14, ST GEORGE, UT 84790-3005
(435) 628-8232
(435) 674-7994
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
122939831204
UT
Other
Enumeration date
06/17/2018
Last updated
11/09/2023
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