Alexander Scott Theobald

NPI #1639594252 in Saint George, Utah

Provider Information

NPI Number: 1639594252
Entity Type: Individual
Name: Alexander Scott Theobald
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Feb 19, 2014
Last Updated: Feb 19, 2014

Practice Location

Address: 474 W 200 N
City: Saint George
State: Utah
ZIP Code: 84770-4505
Phone: (435) 634-5660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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