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Organization
NEPHROLOGY ASSOCIATES OF UTAH LLC
Active
Organization
NEPHROLOGY ASSOCIATES OF UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VALLE (PRESIDENT)
(781) 699-9362
Entity
Organization
Contact information
Practice address
3702 S STATE ST STE 107, SALT LAKE CITY, UT 84115-5096
(801) 288-2634
(801) 288-1186
Mailing address
3702 S STATE ST STE 107, SALT LAKE CITY, UT 84115-5096
(801) 288-2634
(801) 288-1186
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022789
—
UT
Enumeration date
09/28/2006
Last updated
07/24/2024
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