# ASHLEY VALLEY PHYSICIAN PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ghanshyam P Massand, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255568564
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 175 N 100 W, SUITE 204, VERNAL, UT 84078-2049
- **Practice address phone:** (435) 789-1522
- **Practice address fax:** (435) 789-1524
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 6150961-1205 | UT | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 09/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1740245604 | — | UT |