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Advanced Family Medicine, LLC

Family Medicine in St George, UT. Organization (NPI-2).

NPI number1639546377
StatusActive
Last updated in NPPESAug 28, 2015

Details

NPI
1639546377
Entity type
Organization (NPI-2)
Legal business name
Advanced Family Medicine, LLC
Organization subpart
Yes
Enumeration date
Aug 28, 2015
Last updated
Aug 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

619 S Bluff St
Tower 1 Suite 100
St George, UT 84770-3853

Phone 435-656-0234 · Fax 435-656-2622

Mailing address

619 S Bluff St
Tower 1 Suite 100
St George, UT 84770-3853

Phone 435-656-0234 · Fax 435-656-2622

Authorized official

Roger A Russell
Clinic Administrator
4356560234

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