Ashley Valley Physician Practice, LLC

NPI #1740423367 in Vernal, Utah

Provider Information

NPI Number: 1740423367
Entity Type: Organization
Organization Name: Ashley Valley Physician Practice, LLC
Primary Specialty: Urology
Enumeration Date: Apr 13, 2009
Last Updated: Sep 18, 2024

Practice Location

Address: 150 W 100 N
City: Vernal
State: Utah
ZIP Code: 84078-2036
Phone: (435) 381-4511

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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