Active NPI 1285898650 Individual Practitioner Male Practitioner

Dr. Kristoffer R West , MD

Surgery • St George, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kristoffer West, MD is a certified Surgery practicing in St George, UT. With approximately 19 years of clinical experience since graduating from George Washington University School Of Medicine in 2007, Dr. West delivers high-quality medical care to the local community at 617 E RIVERSIDE DR STE 302.

Dr. West is affiliated with Huntsman West Spine Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

617 E Riverside Dr Ste 302

St George, UT 847908722

Telephone 4356526024

Fax 4356526025

Associated Practice Facility / Clinic

🏢 Huntsman West Spine Llc Facility NPI 1457793697

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St George, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.2 yrs vs City Avg

City Avg: 19.2 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

15 Specialists

Practicing in St George, UT (278 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. West (19 Years) 19 Yrs

St George Specialty Average (19.2 Years) 19.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	136	85	$560.00	$200.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	122	120	$76.50	$50.72
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	86	86	$2865.99	$586.25
63685 Insertion of spinal neurostimulator pulse generator or receiver	86	86	$930.00	$210.53
22612 Fusion of spine in lower back	80	80	$4137.00	$1514.76
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	78	56	$657.00	$241.55
61783 Computer-assisted spinal procedure	70	69	$620.00	$220.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$307.00	$159.66
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	58	58	$2157.00	$800.67
22614 Fusion of additional segment of spine	56	41	$1366.59	$371.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	51	$179.00	$120.38
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	45	45	$3996.71	$699.80
22845 Placement of stabilizing device to front, 2-3 spine bone segments	38	38	$1939.00	$690.04
22842 Placement of stabilizing device to back, 3-6 spine bone segments	37	37	$2023.00	$724.61
22840 Placement of stabilizing device to back of 1 spine bone in neck	33	33	$2014.00	$702.00
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$154.00	$86.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$194.29	$105.53
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	13	13	$729.23	$299.13
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$4482.00	$1628.67
63688 Removal or revision of neurostimulator generator or receiver	12	12	$957.00	$180.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	147	95	$556.87	$202.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	129	127	$76.50	$50.36
99213 Established patient office or other outpatient visit, typically 15 minutes	111	90	$154.00	$87.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	93	92	$2870.00	$639.25
22612 Fusion of spine in lower back	76	76	$4137.00	$1521.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	73	51	$649.62	$246.65
63685 Insertion of spinal neurostimulator pulse generator or receiver	71	70	$930.00	$212.01
61783 Computer-assisted spinal procedure	58	58	$620.00	$224.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$205.00	$106.85
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	52	52	$2157.00	$812.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$307.00	$161.41
22614 Fusion of additional segment of spine	48	31	$2021.52	$364.88
22845 Placement of stabilizing device to front, 2-3 spine bone segments	48	48	$1905.88	$681.75
22840 Placement of stabilizing device to back of 1 spine bone in neck	34	34	$2014.00	$732.91
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	33	33	$3996.03	$598.09
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	22	$2023.00	$717.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$179.00	$123.74
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	18	15	$1057.00	$383.18
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$4482.00	$1654.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	16	$76.50	$39.73
63688 Removal or revision of neurostimulator generator or receiver	12	12	$1085.58	$290.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	147	99	$560.00	$204.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	102	102	$76.50	$51.22
99213 Established patient office or other outpatient visit, typically 15 minutes	98	81	$154.00	$87.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	98	97	$2870.00	$662.80
22612 Fusion of spine in lower back	81	81	$4137.00	$1530.38
63685 Insertion of spinal neurostimulator pulse generator or receiver	81	81	$930.00	$222.36
61783 Computer-assisted spinal procedure	66	66	$612.29	$221.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	61	$178.94	$123.45
22614 Fusion of additional segment of spine	65	38	$2095.17	$373.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$307.00	$163.09
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	56	48	$657.00	$249.66
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	51	51	$2157.00	$799.32
22840 Placement of stabilizing device to back of 1 spine bone in neck	42	42	$2014.00	$735.32
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	39	39	$3996.03	$621.53
22845 Placement of stabilizing device to front, 2-3 spine bone segments	38	38	$1939.00	$703.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$205.00	$108.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	25	$76.50	$39.45
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	24	$1953.88	$713.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	136	81	$553.24	$201.76
99213 Established patient office or other outpatient visit, typically 15 minutes	116	95	$154.00	$88.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	107	105	$76.50	$51.32
63685 Insertion of spinal neurostimulator pulse generator or receiver	97	97	$930.00	$219.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	73	$179.00	$123.64
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	83	82	$2841.64	$673.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$307.00	$161.05
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	69	69	$2157.00	$808.81
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	52	40	$657.00	$250.72
22612 Fusion of spine in lower back	52	52	$4137.00	$1558.68
61783 Computer-assisted spinal procedure	50	49	$620.00	$224.18
22614 Fusion of additional segment of spine	43	29	$2099.67	$383.32
22845 Placement of stabilizing device to front, 2-3 spine bone segments	34	34	$1939.00	$712.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	25	25	$2023.00	$747.20
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	24	24	$3996.00	$646.55
22840 Placement of stabilizing device to back of 1 spine bone in neck	23	23	$2014.00	$726.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$205.00	$109.55
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$4482.00	$1667.85
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$2525.00	$918.36
63688 Removal or revision of neurostimulator generator or receiver	12	11	$957.00	$253.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	147	102	$560.00	$214.25
99213 Established patient office or other outpatient visit, typically 15 minutes	135	115	$154.00	$72.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	115	115	$76.50	$52.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	106	$179.00	$105.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	99	98	$2870.00	$678.29
63685 Insertion of spinal neurostimulator pulse generator or receiver	97	97	$930.21	$195.29
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	85	84	$2157.00	$828.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$307.00	$159.18
61783 Computer-assisted spinal procedure	71	70	$620.00	$237.52
22612 Fusion of spine in lower back	69	68	$4137.00	$1605.36
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	61	53	$657.00	$263.23
22840 Placement of stabilizing device to back of 1 spine bone in neck	45	45	$2014.00	$781.52
22614 Fusion of additional segment of spine	43	30	$2074.35	$392.37
22845 Placement of stabilizing device to front, 2-3 spine bone segments	37	37	$1939.00	$750.83
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	35	35	$3996.03	$696.04
22842 Placement of stabilizing device to back, 3-6 spine bone segments	28	28	$2023.00	$749.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$205.00	$105.61
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	15	15	$2525.00	$956.44
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	12	$76.50	$39.89
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$4849.00	$1777.37
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$4482.00	$1660.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	233	233	$307.00	$161.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	173	$179.00	$106.22
99213 Established patient office or other outpatient visit, typically 15 minutes	168	134	$154.00	$72.04
63048 Partial removal of spine bone with release of spinal cord and/or nerves	134	101	$560.00	$222.71
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	122	121	$2870.00	$657.08
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	120	86	$657.00	$272.00
61783 Computer-assisted spinal procedure	94	90	$620.00	$247.87
63685 Insertion of spinal neurostimulator pulse generator or receiver	83	82	$930.00	$213.82
22612 Fusion of spine in lower back	83	82	$4137.00	$1448.02
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	69	69	$2157.00	$864.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	64	64	$76.50	$52.24
22614 Fusion of additional segment of spine	60	37	$2125.00	$414.39
22845 Placement of stabilizing device to front, 2-3 spine bone segments	58	58	$1939.00	$752.95
22840 Placement of stabilizing device to back of 1 spine bone in neck	55	54	$2014.00	$792.72
22842 Placement of stabilizing device to back, 3-6 spine bone segments	46	46	$2023.00	$809.95
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	26	26	$4482.00	$1708.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$205.00	$103.56
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	26	26	$3996.08	$543.32
22533 Fusion of lower spine bone through side with partial removal of disc, 1 bone	26	25	$4591.58	$1669.12
22633 Fusion of spine in lower back with partial removal of spine bone and disc	23	23	$4849.00	$1939.70
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	19	17	$1057.00	$403.94
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	11	11	$2525.00	$1010.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	289	$176.57	$104.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	299	299	$303.07	$159.72
99213 Established patient office or other outpatient visit, typically 15 minutes	286	237	$150.90	$70.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	122	118	$75.75	$52.06
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	109	81	$1153.38	$258.78
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	102	100	$2513.49	$719.78
63685 Insertion of spinal neurostimulator pulse generator or receiver	87	86	$971.52	$202.01
63048 Partial removal of spine bone with release of spinal cord and/or nerves	85	56	$526.16	$220.59
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	79	79	$1932.34	$837.81
61783 Computer-assisted spinal procedure	52	49	$558.19	$244.23
22614 Fusion of additional segment of spine	44	22	$1033.23	$407.98
22840 Placement of stabilizing device to back of 1 spine bone in neck	44	44	$1749.09	$792.69
22612 Fusion of spine in lower back	44	44	$3658.57	$1295.17
22633 Fusion of spine in lower back with partial removal of spine bone and disc	39	39	$4354.23	$1906.53
22845 Placement of stabilizing device to front, 2-3 spine bone segments	31	31	$1919.68	$763.05
22842 Placement of stabilizing device to back, 3-6 spine bone segments	29	29	$1815.90	$796.28
22533 Fusion of lower spine bone through side with partial removal of disc, 1 bone	22	22	$3672.36	$1578.78
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$4516.12	$1711.35
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	17	17	$2872.76	$887.75
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	12	$1062.33	$415.93
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$3543.64	$536.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	528	392	$150.00	$67.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	259	$175.00	$99.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	299	299	$300.00	$152.62
63685 Insertion of spinal neurostimulator pulse generator or receiver	107	106	$950.00	$180.57
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	104	103	$1900.00	$812.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	93	65	$1200.00	$262.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	92	76	$75.00	$50.01
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	90	89	$2500.00	$749.48
63048 Partial removal of spine bone with release of spinal cord and/or nerves	72	54	$500.00	$212.52
61783 Computer-assisted spinal procedure	41	38	$550.00	$235.55
22612 Fusion of spine in lower back	39	37	$3600.00	$1084.52
22840 Placement of stabilizing device to back of 1 spine bone in neck	39	39	$1750.00	$750.78
22614 Fusion of additional segment of spine	30	17	$900.00	$393.66
22845 Placement of stabilizing device to front, 2-3 spine bone segments	29	29	$1800.00	$736.26
22633 Fusion of spine in lower back with partial removal of spine bone and disc	25	25	$4200.00	$1793.14
22533 Fusion of lower spine bone through side with partial removal of disc, 1 bone	20	20	$3590.50	$1588.34
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	19	$1750.00	$766.73
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	20	13	$1000.00	$401.62
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$4000.00	$1669.79
20610 Aspiration and/or injection of fluid from large joint	18	11	$130.00	$57.19
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$2200.00	$891.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$200.00	$101.66
63688 Removal or revision of neurostimulator generator or receiver	11	11	$950.00	$242.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 86358401205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Huntsman West Spine Llc

617 E Riverside Dr, St George, UT 847908722

Phone: 4356526024

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Katherine Green , PT

Physical Therapist

NPI 1205460961

Physical Therapist

Dr. David Barnes , DO

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1265828420

Doctor of Osteopathic Medicine (D.O.)

Colleen Dame , NP-BC

Nurse Practitioner - Acute Care

NPI 1346091311

NPBC

Tyler Davis

Nurse Practitioner - Family

NPI 1346894409

Ryan Best , NP

Nurse Practitioner

NPI 1568171221

Nurse Practitioner

Robert Hurst , NP-C

Nurse Practitioner - Family

NPI 1639488950

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location August 14, 2019

Registered at 617 E RIVERSIDE DR STE 302, ST GEORGE, UT 847908722 (Tel: 4356526024)

📍

Updated Business Mailing Address August 14, 2019

Registered at 617 E RIVERSIDE DR STE 302, ST GEORGE, UT 847908722 (Tel: 4356526024)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active January 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2015

Registered at 230 N 1680 E, STE I1, ST GEORGE, UT 847902579 (Tel: 4356526024)

📍

Updated Business Mailing Address January 28, 2015

Registered at 230 N 1680 E, STE I1, ST GEORGE, UT 847902579 (Tel: 4356526024)

👤

Provider Name / Credentials Updated January 28, 2015

Recorded as KRISTOFFER WEST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2015

Surgery (License #86358401205 in UT)

🟢

Initial NPI Registration & Enumeration July 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285898650

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2008

Last Update: August 14, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

617 E Riverside Dr Ste 302

St George, UT 847908722

Phone: 4356526024

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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