Organization
SOUTHERN UTAH NEUROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A JOHNSON (OFFICE MANAGER)
(435) 668-4618
Entity
Organization
Contact information
Practice address
640 E 700 S, #204, ST GEORGE, UT 84770-5732
(435) 986-4300
(435) 986-4310
Mailing address
640 E 700 S, #204, ST GEORGE, UT 84770-5732
(435) 986-4300
(435) 986-4310
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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