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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TY DALLAS MANGUM, PA

Active

MR. 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 N
ST GEORGE, UT, 847702609
Browse 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.