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

Ashley Valley Physician Practice, LLC

Organization Urology Physician · NPI 1740423367

Ashley Valley Physician Practice, LLC is an Urology Physician in Vernal, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
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

150 W 100 N
Vernal, UT 84078-2036
Phone: (435) 381-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 7161419-8017 (UT)

Record details

NPI number1740423367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
Other names Petar M. Ilievski, Md; Petar M. Ilievski, Md
NPI enumeratedApril 13, 2009
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address150 W 100 N, Vernal, UT 84078-2036