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Mr. Ty Dallas Mangum, PA
Physician Assistant in St George, Utah
NPI 1194340158

Ty Dallas Mangum is a Physician Assistant based in St George, UT. Ty Dallas Mangum practices in St George, UT and has the professional credentials of PA. The NPI Number for Ty Dallas Mangum is 1194340158 and holds a License No. (Utah).

The current practice location address for Ty Dallas Mangum is 595 W 600 N, St George, UT and can be reached out via phone at 435-680-2309.

Location: 595 W 600 N, St George, UT, 84770-2609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194340158
Provider Name
Ty Dallas Mangum
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
595 W 600 N, St George, UT, 84770-2609
Phone Number
435-680-2309
Fax Number
Provider Enumeration Date
06/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
595 W 600 N
City
St George
State
Utah
Zip
84770-2609
Phone Number
435-680-2309
Fax Number
person
Provider Business Mailing Address Details
Address
595 W 600 N
City
St George
State
Utah
Zip
84770-2609
Phone Number
435-680-2309
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085008692 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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