NPI 1831505874
Shadow Mountain LLC.
Practice location
- Address
- 120 W. 1470 South Building B, St. George, UT 84770
- Phone
- (435) 272-0220
- Fax
- (435) 272-0222
- Mailing address
- PO Box 830525 Department # Sf 59, Birmingham, AL 35283-0525
Authorised official
- Name
- Jackie Holub
- Title
- Vice President
- Phone
- (925) 389-8591
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1831505874
- Entity type
- Organization
- NPI issued
- 10 Jul 2014
- Record last updated
- 26 Apr 2017
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.