Healthcare Provider Details

I. General information

NPI: 1316081532
Provider Name (Legal Business Name): NORMAN C RITCHIE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4929 S WOODRUFF CIR
ST GEORGE UT
84790-4427
US

IV. Provider business mailing address

4929 S WOODRUFF CIR
ST GEORGE UT
84790-4427
US

V. Phone/Fax

Practice location:
  • Phone: 225-921-1039
  • Fax: 435-921-6515
Mailing address:
  • Phone: 225-921-1039
  • Fax: 435-921-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number017866
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: