Provider Demographics
NPI:1275863128
Name:G. PAUL DOXEY, M.D., P.C.
Entity Type:Organization
Organization Name:G. PAUL DOXEY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOSS
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOXEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-628-3342
Mailing Address - Street 1:736 S 900 E
Mailing Address - Street 2:STE 201
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7000
Mailing Address - Country:US
Mailing Address - Phone:435-628-3342
Mailing Address - Fax:435-628-3277
Practice Address - Street 1:736 S 900 E
Practice Address - Street 2:STE 201
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7000
Practice Address - Country:US
Practice Address - Phone:435-628-3342
Practice Address - Fax:435-628-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU000004007Medicare PIN