Organization
SURGICAL CARE ASSOCIATES OF ST GEORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUPENDRA C PATEL MD (DIRECTOR)
(435) 215-0004
Entity
Organization
Contact information
Practice address
1054 E RIVERSIDE DR, SAINT GEORGE, UT 84790-4825
(435) 215-0004
(435) 215-0729
Mailing address
PO BOX 910744, SAINT GEORGE, UT 84791-0744
(435) 215-0004
(435) 215-0729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
188029-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63914081705001
BCBS UTAH NUMBER
UT
01
—
F49288
UPIN NUMBER
UT
Enumeration date
03/03/2010
Last updated
01/06/2014
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