Organization
VALLEY OBSTETRICS AND GYNECOLOGY, PC
Active
Other names
Provo Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM B. RASMUSSEN (COO)
(801) 374-1801
Entity
Organization
Contact information
Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
358469-8905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870285509000
—
UT
Enumeration date
06/04/2007
Last updated
02/17/2011
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