Jamie Susanne Vane, DO
Pediatrics, Adolescent Medicine in St George, UT. Individual provider (NPI-1).
NPI number1316431075
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1316431075
- Entity type
- Individual (NPI-1)
- Name
- Jamie Susanne Vane
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2018
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 122939831204 | UT | Yes |
Practice location
1240 E 100 S Ste 14St George, UT 84790-3005
Phone 435-628-8232 · Fax 435-674-7994
Mailing address
1240 E 100 S Ste 14St George, UT 84790-3005
Phone 435-628-8232 · Fax 435-674-7994
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