Provider First Line Business Practice Location Address:
1380 EAST MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
DIXIE REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
ST. GEORGE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-225-6246
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2006