Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TY DALLAS MANGUM, PA
ActiveMR. TY DALLAS MANGUM, PA is a Physician Assistant healthcare provider located in ST GEORGE, Utah. NPI 1194340158 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ST GEORGE, UT
Registration Details
- NPI Number
- 1194340158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2020 (6.1578644120505 yrs)
- Last Updated
- Jan 4, 2022
- License
-
085008692 (IL)
Practice Information
- Address
-
595 W 600 NST GEORGE, UT, 847702609Browse UT providers · Browse ZIP 84770
- Phone
- 4356802309
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ST GEORGE, UT
| Name | Credential | NPI |
|---|---|---|
| JAYME FOSTER LOTT | PA-C | 1619970647 |
| MR. TODD A STIRLING | PA C | 1821075227 |
| BRUCE A MCPHERSON | PA | 1265419451 |
| SHAUNA L MCBRIDE | PA C | 1457330532 |
| JACQUELINE L MURRAY | PA-C | 1215908322 |
| MR. SEAN J STUCKI | PA-C | 1245296383 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.