Night Light Pediatrics LLC
Pediatrics, Adolescent Medicine in St George, UT. Organization (NPI-2).
NPI number1295855914
StatusActive
Last updated in NPPESJul 25, 2007
Details
- NPI
- 1295855914
- Entity type
- Organization (NPI-2)
- Legal business name
- Night Light Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Jul 25, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 88-178110-1205 | UT | Yes |
Practice location
1240 E 100 S Ste 14St George, UT 84790-3005
Phone 435-628-8034
Mailing address
1240 E 100 S Ste 14St George, UT 84790-3005
Phone 435-628-8034
Authorized official
Jerry D Twiggs
President
4356288034
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