Organization
ADVANCED VEIN AND VASCULAR OF SOUTHERN UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MUNFORD (CEO)
(801) 425-4200
Entity
Organization
Contact information
Practice address
1251 NORTHFIELD RD # 103, CEDAR CITY, UT 84721-8622
(435) 383-5770
(435) 383-5772
Mailing address
273 N 2975 W, LAYTON, UT 84041-8835
(801) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
02/02/2020
Last updated
05/12/2020
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