Healthcare Provider Details
I. General information
NPI: 1275863128
Provider Name (Legal Business Name): G. PAUL DOXEY, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/28/2009
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
736 S 900 E STE 201
SAINT GEORGE UT
84790-7000
US
IV. Provider business mailing address
736 S 900 E STE 201
SAINT GEORGE UT
84790-7000
US
V. Phone/Fax
- Phone: 435-628-3342
- Fax: 435-628-3277
- Phone: 435-628-3342
- Fax: 435-628-3277
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PAUL
DOXEY
Title or Position: BOSS
Credential: M.D.
Phone: 435-628-3342