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Organization
SOUTH VALLEY ORTHOMED, PLLC
Active
Organization
SOUTH VALLEY ORTHOMED, PLLC
Active
Other names
South Valley Orthopedics & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER STRONG (PRACTICE ADMINISTRATOR)
(801) 566-4242
Entity
Organization
Contact information
Practice address
1988 W 930 N STE C, PLEASANT GROVE, UT 84062-4132
(801) 566-4242
(801) 987-3493
Mailing address
1988 W 930 N STE C, PLEASANT GROVE, UT 84062-4132
(801) 566-4242
(801) 987-3493
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000098391
MEDICARE
UT
Enumeration date
09/15/2021
Last updated
09/15/2021
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