Individual
JOTHAM CHARLES MANWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
652 S MEDICAL CENTER DR STE 420, ST GEORGE, UT 84790-7049
(435) 251-6800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-6800
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9363155-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/25/2008
Last updated
09/08/2021
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