Individual
MR. CHARLES TAYLOR CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
474 WEST 200 EAST, ST. GEORGE, UT 84770
(435) 634-5600
Mailing address
1122 E 300 S APT 219, ST GEORGE, UT 84790-5505
(801) 680-5765
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
UT
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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