NPI 1255568564 · live from the CMS NPI Registry
Ashley Valley Physician Practice LLC
Orthopaedic Surgery in Vernal, UT. National Provider Identifier 1255568564, active.
NPI record
| NPI | 1255568564 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 175 N 100 W, Suite 204, Vernal, UT 84078 |
| Practice phone | 435-789-1522 |
| Mailing address | 330 Seven Springs Way, Brentwood, TN 37027 |
| Enumerated | June 12, 2009 |
| Last updated | September 18, 2024 |
| Authorized official | Charlotte Lawrence, Secretary |
| Other names | Ghanshyam P Massand, MD |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 6150961-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.