# TARHEEL OBGYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831336825
- **Authorized official:** DR. HENRY LEWIS III MD (PRESIDENT)
- **Authorized official phone:** (435) 781-1011

## Contact information

- **Practice address:** 150 W 100 N, STE S103, VERNAL, UT 84078-2036
- **Practice address phone:** (435) 781-1011
- **Practice address fax:** (435) 781-1013
- **Mailing address:** 150 W 100 N, STE S103, VERNAL, UT 84078-2036
- **Mailing address phone:** (435) 781-1011
- **Mailing address fax:** (435) 781-1013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 71839501205 | UT | Yes |

## Other

- **Enumeration date:** 01/13/2009
- **Last updated:** 06/27/2009