Organization
ST GEORGE SURGICAL CENTER LP
Active
Parent organization
ST. GEORGE SURGICAL CENTER, L.P.
Other names
St George Surgical Anesthesia Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. GEORGE SURGICAL CENTER, L.P.
Authorized official
CORLAND TY TIPPETS (ADMINISTRATOR)
(435) 673-8080
Entity
Organization
Contact information
Practice address
676 S BLUFF ST, ST GEORGE, UT 84770-3596
(435) 673-8080
(435) 673-0096
Mailing address
676 S BLUFF ST, ST GEORGE, UT 84770-3596
(435) 673-8080
(435) 673-0096
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
5566449-1205
UT
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
09/08/2014
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