Doctor Name: | DANA BROWNING HARDIN |
NPI Number: | 1053381558 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 3746751205 |
Business Practice Address: | 619 South Bluff Street Tower 1 Suite 100 St. George, UT - 847703853 |
Business Phone Number: | 4356560234 |
Business Fax Number: | 4356562622 |
Mailing Address: | 619 South Bluff Street, Tower 1 Suite 100 ST GEORGE |
State: | UT |
Postal Code: | 847703853 |
Phone Number: | 4356560234 |
Fax Number: | 4356562622 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 3746751205 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |