Organization
G.P.MASSAND, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHANSHYAM P MASSAND M.D. (PRESIDENT)
(435) 789-1522
Entity
Organization
Contact information
Practice address
175 N 100 W, SUITE 204, VERNAL, UT 84078-2049
(435) 789-1522
(435) 789-1524
Mailing address
175 N 100 W, SUITE 204, VERNAL, UT 84078-2049
(435) 789-1522
(435) 789-1524
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
06/11/2007
Last updated
09/25/2008
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