Individual
PHILLIP OBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
368 E RIVERSIDE DR STE A, ST GEORGE, UT 84790-6897
(435) 673-1149
Mailing address
1187 E 3900 S, SALT LAKE CITY, UT 84124-1201
(435) 673-1149
(435) 673-1182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
SL1352
NV
207RG0100X
Gastroenterology Physician
Primary
6069280-1204
UT
208D00000X
General Practice Physician
DO2870
NV
Other
Enumeration date
05/16/2018
Last updated
07/01/2024
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