Individual
DR. SAMUEL FORSYTH ANDELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52440-020
WI
207Q00000X
Family Medicine Physician
9596330-1205
UT
208M00000X
Hospitalist Physician
Primary
9596330-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2724
TEP
WI
Enumeration date
07/28/2008
Last updated
07/21/2022
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