Samuel David Perez
Technician, Other in St George, UT. Individual provider (NPI-1).
NPI number1669956835
StatusActive
Last updated in NPPESSep 24, 2018
Details
- NPI
- 1669956835
- Entity type
- Individual (NPI-1)
- Name
- Samuel David Perez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2018
- Last updated
- Sep 24, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
474 W 200 NSt George, UT 84770-4505
Phone 435-634-5600
Mailing address
474 W 200 NSt George, UT 84770-4505
Phone 435-634-5600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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