Healthcare Provider Details

I. General information

NPI: 1215844238
Provider Name (Legal Business Name): SCOTT NOORDA DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 E 700 S STE 201
ST GEORGE UT
84770-5732
US

IV. Provider business mailing address

640 E 700 S STE 201
ST GEORGE UT
84770-5732
US

V. Phone/Fax

Practice location:
  • Phone: 435-627-3500
  • Fax: 435-359-4508
Mailing address:
  • Phone: 435-627-3500
  • Fax: 435-359-4508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT NOORDA
Title or Position: SOLE OWNER/ PHYSICIAN
Credential: DO
Phone: 435-627-3500