Provider First Line Business Practice Location Address:
1380 E. MEDICAL DRIVE
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:
801-507-5248
Provider Business Practice Location Address Fax Number:
801-733-5618
Provider Enumeration Date:
10/13/2006