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ASHLEY VALLEY PHYSICIAN PRACTICE LLC NPI 1740423367


NPI Information

NPI: 1740423367
Provider Name: ASHLEY VALLEY PHYSICIAN PRACTICE, LLC

Doing Business As: PETAR M. ILIEVSKI, MD

Classification: Urology - 208800000X
Entity Type: Organization
Address:
150 W 100 N
VERNAL, UT
ZIP 84078
Phone: (435) 381-4511
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ASHLEY VALLEY PHYSICIAN PRACTICE, LLC is an urology in Vernal, UT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ASHLEY VALLEY PHYSICIAN PRACTICE, LLC NPI is 1740423367. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Petar M. Ilievski, Md.

The provider's business location address is:

150 W 100 N
VERNAL, UT
ZIP 84078-036
Phone: (435) 381-4511

The provider's authorized official is Monica Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 10/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology7161419-8017UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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