OrganizationActive
Ashley Valley Physician Practice, LLC
NPI 1740423367 · Urology Physician · Vernal, UT
Provider details
- NPI number
- 1740423367
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
- License
- 7161419-8017 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 W 100 N
Vernal, UT 84078-2036
Phone: (435) 381-4511
Street-level locationGet directions
Mailing address
150 W 100 N
Vernal, UT 84078-2036
Other names (DBA / former)
- Doing business as
- Petar M. Ilievski, MD
- Doing business as
- Petar M. Ilievski, MD
Registry dates
- Enumerated
- 2009-04-13
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.