Organization
VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Active
Other names
Womens Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI BENNETT (CONTRACT & CREDENTIALING SPEC)
(435) 628-0498
Entity
Organization
Contact information
Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1809
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1809
(801) 216-8357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8046570-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578889465
NPI
UT
Enumeration date
05/29/2014
Last updated
05/29/2014
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