Individual
MR. TODD A STIRLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1490 E FOREMASTER DR STE 150, ST GEORGE, UT 84790-4495
(435) 628-9393
(435) 628-9382
Mailing address
1490 E FOREMASTER DR STE 150, ST GEORGE, UT 84790-4495
(435) 628-9393
(435) 628-9382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59398501206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352163112003
—
UT
01
—
352163112017
MEDICAID PCN
UT
01
—
461819
MEDICARE UGS
—
Enumeration date
12/27/2005
Last updated
04/02/2008
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