Organization
DIABETES AND WOUND CARE CLINIC OF ST GEORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KNIGHT (PARTNER)
(801) 860-9240
Entity
Organization
Contact information
Practice address
1054 E RIVERSIDE DR STE 201, ST GEORGE, UT 84790-4829
(435) 574-5123
(435) 634-8894
Mailing address
1054 E RIVERSIDE DR STE 201, ST GEORGE, UT 84790-4829
(435) 574-5123
(435) 634-8894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010016
—
UT
Enumeration date
12/21/2018
Last updated
06/11/2020
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