Organization
MOUNTAIN VALLEY IMAGING OF EASTERN UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN HOLDAWAY (BILLING MANAGER)
(801) 916-3029
Entity
Organization
Contact information
Practice address
150 W 100 N, VERNAL, UT 84078-2036
(435) 789-3342
Mailing address
PO BOX 95970, SOUTH JORDAN, UT 84095-0970
(800) 877-7081
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
3154161205
UT
Other
Enumeration date
05/30/2007
Last updated
12/02/2024
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