Organization
EDWARD J PRINCE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J PRINCE M.D. (OWNER)
(435) 628-9393
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR, #150, ST GEORGE, UT 84790-4488
(435) 628-9393
(435) 628-9382
Mailing address
1490 E FOREMASTER DR, #150, ST GEORGE, UT 84790-4488
(435) 628-9393
(435) 628-9382
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
58209071205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529399894002
—
UT
Enumeration date
12/31/2007
Last updated
12/31/2007
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