Organization
SOUTHERN UTAH HEART AND VASCULAR
Active
Parent organization
ADVANCED VEIN AND VASCULAR OF SOUTHERN UTAH LLC
Other names
Southern Utah Heart and Vascular, Advanced Vein and Vascular Of Southern Utah
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED VEIN AND VASCULAR OF SOUTHERN UTAH LLC
Authorized official
DENNIS MUNFORD (CEO)
(385) 388-8003
Entity
Organization
Contact information
Practice address
2107 W SUNSET BLVD STE 102, ST GEORGE, UT 84770-7140
(385) 388-8003
Mailing address
6321 S REDWOOD RD STE 102, TAYLORSVILLE, UT 84123-6799
(385) 388-8003
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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