Individual
CHARLES SUMPTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
652 S MEDICAL CENTER DR STE 110, SAINT GEORGE, UT 84790-7077
(435) 251-6760
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13402962-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2368
PHYSICIAN ASSISTANT LICENSE - NEVADA
NV
Enumeration date
06/29/2020
Last updated
11/12/2025
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