Individual
CODY J HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 673-6131
(435) 673-8557
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7696028-1204
UT
208000000X
Pediatrics Physician
R1069
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1069
TRAINING PERMIT
AZ
Enumeration date
12/18/2007
Last updated
04/14/2026
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