| NPI | 1356444863 |
|---|---|
| Doing Business As | ST GEORGE SURGICAL ANESTHESIA GROUP |
| Entity Type | Organization |
| Authorized Contact | CORLAND TY TIPPETS Administrator 435-673-8080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: UT 5566449-1205) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-09-08 |