Individual
TRISTAN SCOTT BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
260 S 460 W, HURRICANE, UT 84737-2177
(435) 218-4927
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
197272669
UT
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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