# VALLEY OBSTETRICS AND GYNECOLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Womens Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558773242
- **Authorized official:** SHERI BENNETT (CONTRACT & CREDENTIALING SPEC)
- **Authorized official phone:** (435) 628-0498

## Contact information

- **Practice address:** 585 N 500 W, PROVO, UT 84601-1548
- **Practice address phone:** (801) 374-1809
- **Practice address fax:** (801) 216-8357
- **Mailing address:** 585 N 500 W, PROVO, UT 84601-1548
- **Mailing address phone:** (801) 374-1809
- **Mailing address fax:** (801) 216-8357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8046570-1205 | UT | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 05/29/2014