Most Relevant Information
Provider Data
| NPI Number: | 1003495565 |
| Provider Name: | BEAU JAY KUNZLER NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9045507-4405 |
Most Important Dates
| Enumeration Date: | 04/02/2021 |
| Last Updated: | 08/01/2023 |
Provider Practice Location
600 S MEDICAL CENTER DR
ST GEORGE
UT
847908723
Practice Location Phone/Fax
| Phone: | 4352514900 |
| Fax: |
Provider Mailing Location
970 E 3800 S
WASHINGTON
UT
847801381
Provider Mailing Phone/Fax
| Phone: | 4352878698 |
| Fax: |