OrganizationActive
Advanced Family Medicine, LLC
NPI 1639546377 · Family Medicine Physician · St George, UT
Provider details
- NPI number
- 1639546377
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Family Medicine, LLC
- Organization subpart
- Yes
- Authorized official
- Roger Russell, Clinic Administrator(435) 656-0234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
619 S Bluff St
Tower 1 Suite 100
St George, UT 84770-3853
Phone: (435) 656-0234
Fax: (435) 656-2622
Approximate (ZIP-level) locationGet directions
Mailing address
619 S Bluff St
St George, UT 84770-3853
Registry dates
- Enumerated
- 2015-08-28
- Last updated
- 2015-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.