Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Valley Physician Practice, LLC

Organization Family Medicine Physician · NPI 1518247709

Ashley Valley Physician Practice, LLC is a Family Medicine Physician in Roosevelt, Utah. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

409 S 200 E
Roosevelt, UT 84066-3314
Phone: (435) 725-3327
Fax: (435) 725-3331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1518247709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
Other names Roosevelt Community Clinic; Roosevelt Community Clinic
NPI enumeratedAugust 19, 2011
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address409 S 200 E, Roosevelt, UT 84066-3314

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