Individual provider · Type 1 NPI

Nicholas S. Demille

Medical Physician Assistant · St. George, UT

NPI number 1821670936 Active

Practice location

617 E Riverside Dr Ste 301
St. George, UT 84790-8722

Call (435) 216-7000 Map

Fax (435) 216-7001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X11214124-1206 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X11522934-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1821670936

Nicholas S. Demille's National Provider Identifier is 1821670936, issued on Apr 27, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. George, UT. The record was last updated on Mar 29, 2023.