Individual
JOHN GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 E 1400 N STE 135, LOGAN, UT 84341-2549
(435) 787-8146
(435) 787-8149
Mailing address
PO BOX 912042, ST GEORGE, UT 84791-2042
(435) 215-0230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
119593001206
UT
Other
Enumeration date
07/06/2012
Last updated
10/07/2021
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