NPI 1629480769 · live from the CMS NPI Registry
Jacob Burrows
Audiologist in St George, UT. National Provider Identifier 1629480769, active.
NPI record
| NPI | 1629480769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1490 E Foremaster Dr, Suite 360, St George, UT 84790 |
| Practice phone | 435-688-8866 |
| Enumerated | May 23, 2014 |
| Last updated | October 14, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 86665184101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.