Individual
JERRY D TWIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 E 100 S #14, ST. GEORGE, UT 84790
(435) 628-8232
Mailing address
1240 E 100 S #14, BUILDING 14, ST. GEORGE, UT 84790
(435) 628-8232
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
88-178110-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09165
—
UT
Enumeration date
01/19/2006
Last updated
07/08/2007
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