Healthcare Provider Details

I. General information

NPI: 1649587072
Provider Name (Legal Business Name): WILLIAM DAVID ARMOUR III APC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DAVE WILLIAM ARMOUR III

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 W HARDING AVE STE C7
CEDAR CITY UT
84720-2596
US

IV. Provider business mailing address

173 E FIDDLERS CANYON RD UNIT 4
CEDAR CITY UT
84721-8643
US

V. Phone/Fax

Practice location:
  • Phone: 435-867-5475
  • Fax:
Mailing address:
  • Phone: 435-327-0610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7631310-6009
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: