Organization
PINE VALLEY HEALTH UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARSHABH SARDA (AUTHORIZED OFFICIAL)
(208) 247-5050
Entity
Organization
Contact information
Practice address
3507 N UNIVERSITY AVE STE 100, PROVO, UT 84604-4479
(208) 247-5050
Mailing address
3507 N UNIVERSITY AVE STE 100, PROVO, UT 84604-4479
(208) 247-5050
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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