Individual
MR. RAY ALLEN ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 S HIGHWAY 191 # 2, MOAB, UT 84532-3443
(435) 259-4466
Mailing address
2700 S HIGHWAY 191 # 2, MOAB, UT 84532-3443
(435) 259-4466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5141202-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107012421102
SELECT HEALTH
UT
01
—
51412021201001
BLUE CROSS BLUE SHIELD
UT
01
—
680511576AND
EDUCATORS MUTUAL
UT
01
—
68474
PEHP
UT
01
—
755227
DMBA INSURANCE
UT
01
—
QM0000071700
ALTIUS
UT
Enumeration date
10/11/2006
Last updated
05/21/2025
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