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Ashley Valley Physician Practice, LLC — NPI 1790010619, Vernal, UT | NPI Central

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NPI 1790010619

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Ashley Valley Physician Practice, LLC

NPI 1790010619 · Surgery Physician · Vernal, UT

Provider details

NPI number: 1790010619
Entity type: Organization
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Charlotte Lawrence, Secretary(615) 920-7000

Specialties & taxonomies

Surgery PhysicianPrimary208600000X
Allopathic & Osteopathic Physicians

Practice location

150 W 100 N

Suite 102s

Vernal, UT 84078-2036

Phone: (435) 781-2161

Fax: (435) 781-2162

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

330 Seven Springs Way

Brentwood, TN 37027-5098

Other names (DBA / former)

Doing business as: Northern Utah General Surgery
Doing business as: Northern Utah General Surgery

Registry dates

Enumerated: 2009-10-09
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.