Ashley Valley Physician Practice, LLC

NPI #1518247709 in Roosevelt, Utah

Provider Information

NPI Number: 1518247709
Entity Type: Organization
Organization Name: Ashley Valley Physician Practice, LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 19, 2011
Last Updated: Sep 18, 2024

Practice Location

Address: 409 S 200 E
City: Roosevelt
State: Utah
ZIP Code: 84066-3314
Phone: (435) 725-3327

Authorized Official

Name: CHARLOTTE LAWRENCE
Title: SECRETARY
Phone: (615) 920-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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