Individual
OWEN BENNETT GINOCCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
230 N 1680 E, BLDG. W STE 105, ST. GEORGE, UT 84790
(801) 616-2446
(435) 355-3801
Mailing address
230 N 1680 E, BLDG. W STE 105, ST. GEORGE, UT 84790
(801) 616-2446
(435) 355-3801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6594276-1206
UT
Other
Enumeration date
06/28/2007
Last updated
01/07/2022
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