Organization
ASHLEY VALLEY PHYSICIAN PRACTICE, LLC
Active
Other names
Northern Utah General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
150 W 100 N, SUITE 102S, VERNAL, UT 84078-2036
(435) 781-2161
(435) 781-2162
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
UT
Other
Enumeration date
10/09/2009
Last updated
09/18/2024
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