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Phase Ii St George Inc
Gynecologic Oncology Physician in St George, Utah
NPI 1912186289

Phase Ii St George Inc is a Gynecologic Oncology Physician based in St George, UT and is specialized in Gynecologic Oncology. Phase Ii St George Inc practices in St George, UT. The NPI Number for Phase Ii St George Inc is 1912186289 and holds a License No. 2751391205 (Utah).

The current practice location address for Phase Ii St George Inc is 230 N 1680 E, St George, UT and can be reached out via phone at 435-627-2978.

Location: 230 N 1680 E, St George, UT, 84790-2579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912186289
Provider Name
Phase Ii St George Inc
Credential
Provider Entity Type
Organization
Address
230 N 1680 E, St George, UT, 84790-2579
Phone Number
435-627-2978
Fax Number
Provider Enumeration Date
11/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000058012 01 UT MEDICARE GROUP ID NUMBER
institution
Provider Business Practice Location Address Details
Address
230 N 1680 E
City
St George
State
Utah
Zip
84790-2579
Phone Number
435-627-2978
Fax Number
person
Provider Business Mailing Address Details
Address
230 N 1680 E
City
St George
State
Utah
Zip
84790-2579
Phone Number
435-627-2978
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
2751391205 (Utah)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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