NPI 1669920427

Charles Taylor Church, EMT

Practitioner Other Technician St. George, UT

Practice location

Address: 474 West 200 East, St. George, UT 84770
Phone: (435) 634-5600
Mailing address: 1122 E 300 S APT 219, St George, UT 84790-5505

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Utah →

Registry record

NPI: 1669920427
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2016
Record last updated: 21 Sep 2016

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.