Organization
INTERMOUNTAIN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEE TERRY ATC (ATHLETIC TRAINER)
(435) 251-3600
Entity
Organization
Contact information
Practice address
652 S MEDICAL CENTER DR, SUITE 120, ST GEORGE, UT 84790-7049
(435) 251-3600
(435) 628-4469
Mailing address
652 S MEDICAL CENTER DR, SUITE 120, ST GEORGE, UT 84790-7049
(435) 251-3600
(435) 628-4469
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
8207030-4810
UT
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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