NPI 1568669158

Owen Bennett Ginocchio, PAC

Practitioner Physician Assistant St. George, UT

Practice location

Address: 230 N 1680 E Bldg. W STE 105, St. George, UT 84790
Phone: (801) 616-2446
Fax: (435) 355-3801

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 6594276-1206 (UT)

Other Physician Assistant providers in Utah →

Registry record

NPI: 1568669158
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2007
Record last updated: 7 Jan 2022

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.