Organization
TUTTLE DERMATOLOGY PC
Active
Other names
Dermatology Clinic of Southern Utah
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE SPENCER TUTTLE MD (PRESIDENT)
(435) 218-7779
Entity
Organization
Contact information
Practice address
617 E RIVERSIDE DR STE 103, ST GEORGE, UT 84790-8049
(352) 187-7794
(435) 215-2527
Mailing address
1173 S 250 W STE 301, ST GEORGE, UT 84770-6753
(801) 718-9148
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8347280-1205
UT
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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