Individual
MR. ALEXANDROS JOHN PAVLIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 E 700 S STE 3, ST GEORGE, UT 84770-4006
(435) 673-1004
Mailing address
PO BOX 236, ORDERVILLE, UT 84758-0236
(909) 725-6271
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11799232-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXX
—
UT
Enumeration date
05/31/2016
Last updated
11/09/2021
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