Individual
HEATH GABRIEL DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
640 E 700 S, SUITE 105, ST GEORGE, UT 84770-4023
(435) 688-7770
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55006641206
UT
363A00000X
Physician Assistant
Primary
6398
AZ
Other
Enumeration date
04/21/2015
Last updated
01/28/2021
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