Healthcare Provider Details

I. General information

NPI: 1710809991
Provider Name (Legal Business Name): CLASSIC NORWAY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N 1680 E BLDG F
ST GEORGE UT
84790-2579
US

IV. Provider business mailing address

230 N 1680 E BLDG F
ST GEORGE UT
84790-2579
US

V. Phone/Fax

Practice location:
  • Phone: 435-669-4403
  • Fax: 435-256-8180
Mailing address:
  • Phone: 435-669-4403
  • Fax: 435-256-8180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEAN DEL PULLAN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 435-669-4403