Organization
DIXIE STATE COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY RODRIGUEZ (BILLING MANAGER)
(561) 202-0834
Entity
Organization
Contact information
Practice address
225 S 700 E, ST GEORGE, UT 84770-3875
(561) 202-0834
Mailing address
225 S 700 E, ST GEORGE, UT 84770-3875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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