Healthcare Provider Details

I. General information

NPI: 1114847308
Provider Name (Legal Business Name): ERIC ZUFELT CPSS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 W AUTO MALL DR STE 4
ST GEORGE UT
84770-2200
US

IV. Provider business mailing address

283 W AUTO MALL DR STE 4
ST GEORGE UT
84770-2200
US

V. Phone/Fax

Practice location:
  • Phone: 435-429-1269
  • Fax:
Mailing address:
  • Phone: 435-429-1269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberF26-158446
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: