Individual
JAMES THOMAS PLONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSW
Contact information
Practice address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
(435) 586-7388
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
(435) 586-7388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870365095
—
UT
01
—
PLONOJ
SBHC STAFF CODE
UT
Enumeration date
05/21/2007
Last updated
10/02/2009
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