Individual
STEPHANIE VONGSAWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 S MEDICAL CENTER DR, ST GEORGE, UT 84790-8715
(435) 652-7500
Mailing address
1526 S MEDICAL CENTER DR, ST GEORGE, UT 84790-8715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
05/19/2022
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