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Thomas S. Bean, PA-C

Physician Assistant in St George, UT. Individual provider (NPI-1).

NPI number1346358454
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1346358454
Entity type
Individual (NPI-1)
Name
Thomas S. Bean
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Aug 28, 2006
Certification date
Apr 2, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5420114-1206UTYes

Practice location

736 S 900 E Ste 203
St George, UT 84790-7003

Phone 435-673-6131 · Fax 435-673-8557

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305

Phone 801-354-8225 · Fax 801-418-0941

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