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Individual

DR. JERRY ROBERT RHODES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
594 N 260 WEST CIR, ST GEORGE, UT 84770-2790
(435) 668-0906
Mailing address
594 N 260 WEST CIR, ST GEORGE, UT 84770-2790
(435) 668-0906

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
156198-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004328723
AETNA
KY
01
0007137728
AETNA
UT
01
101009187101
IHC CAPS
UT
01
107007770102
IHC
UT
01
19344612000001
VALUECARE
UT
01
201302841
TAX ID
UT
01
201302841 B58557
BCBS FED PETERSON
UT
01
201302841 B69047
BCBS FED
UT
01
201302841793981
OTHER ID
UT
01
201302847
CURRENT TAX ID
UT
01
218306
ALTIUS
UT
01
251984
OTHER ID
UT
01
36550
DMBA
UT
01
85120066610450
REGENCE LIFE & HEALTH
OR
01
902568
DMBA PETERSON
UT
01
H605416
AEI
AZ
Enumeration date
05/11/2006
Last updated
10/30/2023
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