Organization
TARHEEL OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LEWIS III MD (PRESIDENT)
(435) 781-1011
Entity
Organization
Contact information
Practice address
150 W 100 N, STE S103, VERNAL, UT 84078-2036
(435) 781-1011
(435) 781-1013
Mailing address
150 W 100 N, STE S103, VERNAL, UT 84078-2036
(435) 781-1011
(435) 781-1013
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
71839501205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060751
OWNERS DOB
—
Enumeration date
01/13/2009
Last updated
06/27/2009
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