NPI 1275916777

Andrus Prosthodontics Lc

Organisation Prosthetic/Orthotic Supplier St George, UT

Practice location

Address: 640 E 700 S Suite 104, St George, UT 84770-4023
Phone: (435) 674-3100
Fax: (435) 674-4345

Authorised official

Name: Rodney L Andrus
Title: Owner
Phone: (435) 674-3100

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 4748653 (UT)

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Registry record

NPI: 1275916777
Entity type: Organization
NPI issued: 1 Jul 2015
Record last updated: 1 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.