Organization
ST GEORGE HEART AND VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SCOTT NEEDHAM MD (OWNER)
(406) 690-2008
Entity
Organization
Contact information
Practice address
1841 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-7063
(406) 690-2008
Mailing address
1841 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-7063
(435) 900-6001
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
03/06/2023
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