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NPI Code Detail

MEDICARE: VALLEY OBSTETRICS AND GYNECOLOGY, P.C.

MEDICARE: VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VE0102XReproductive Endocrinology Physician

General Provider Information

NPI Number : 1770050221
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Provider Business Mailing Address
First Line : 585 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84601-1548
Country : US
Telephone Number : 801-374-1801
Fax Number : 801-216-8357
Provider Business Practice Location Address
First Line : 1900 N STATE ST STE 105
Second Line :
City : PROVO
State : UT
Zip : 84604-1354
Country : US
Telephone Number : 801-655-5245
Fax Number : 801-702-1260
Authorized Official
Title or Position : CEO
Name : ADAM RASMUSSEN
Credential :
Telephone Number : 801-374-1802
Provider Enumeration Date : 11/01/2018
Last Update Date : 11/30/2023

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Directions to “VALLEY OBSTETRICS AND GYNECOLOGY, P.C. ” Practice Location

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