Organization
ADVANCED FAMILY MEDICINE, LLC
Active
Parent organization
ADVANCED FAMILY MEDICINE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED FAMILY MEDICINE, LLC
Authorized official
ROGER A RUSSELL DC (CLINIC ADMINISTRATOR)
(435) 656-0234
Entity
Organization
Contact information
Practice address
619 S BLUFF ST, TOWER 1 SUITE 100, ST GEORGE, UT 84770-3853
(435) 656-0234
(435) 656-2622
Mailing address
619 S BLUFF ST, TOWER 1 SUITE 100, ST GEORGE, UT 84770-3853
(435) 656-0234
(435) 656-2622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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