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Organization
ASHLEY VALLEY PHYSICIAN PRACTICE, LLC
Active
Organization
ASHLEY VALLEY PHYSICIAN PRACTICE, LLC
Active
Other names
Ashley Regional Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
150 W 100 N, VERNAL, UT 84078-2036
(435) 789-3342
(435) 789-1314
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
09/18/2024
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