Organization
ASHLEY VALLEY PHYSICIAN PRACTICE LLC
Active
Other names
Ghanshyam P Massand, MD
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
175 N 100 W, SUITE 204, VERNAL, UT 84078-2049
(435) 789-1522
(435) 789-1524
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6150961-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740245604
—
UT
Enumeration date
06/12/2009
Last updated
09/18/2024
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