Individual
KEVIN MICHAEL OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1380 E MEDICAL CENTER DR STE 4500, ST GEORGE, UT 84790-2173
(435) 251-2501
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11473934-1206
UT
363AS0400X
Surgical Physician Assistant
2038
WV
363AS0400X
Surgical Physician Assistant
PT809
WY
Other
Enumeration date
03/13/2017
Last updated
11/04/2022
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