institution
Ray Andrew, Md, Pc
Primary Care Clinic/Center in Moab, Utah
NPI 1922174705

Ray Andrew, Md, Pc is a Primary Care Clinic/Center based in Moab, UT and is specialized in Primary Care. Ray Andrew, Md, Pc practices in Moab, UT. The NPI Number for Ray Andrew, Md, Pc is 1922174705 and holds a License No. 5160918-0144 (Utah).

The current practice location address for Ray Andrew, Md, Pc is 2700 S Highway 191 Ste 2, Moab, UT and can be reached out via phone at 435-259-4466 and via fax at 435-259-4467.

Location: 2700 S Highway 191 Ste 2, Moab, UT, 84532-3443
institution
Provider Profile Details
NPI Number
1922174705
Provider Name
Ray Andrew, Md, Pc
Credential
Provider Entity Type
Organization
Address
2700 S Highway 191 Ste 2, Moab, UT, 84532-3443
Phone Number
435-259-4466
Fax Number
435-259-4467
Provider Enumeration Date
11/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
558752212-004 05 UT
QM0000071700 01 UT ALTIUS PROVIDER NUMBER
5141202-1205 01 UT STATE LICENSE NUMBER
107012421102 01 UT SELECT HEALTH PROVIDER #
755227 01 UT DMBA PROVIDER #
51412021201001 01 UT BLUE CROSS BLUE SHIELD
68474 01 UT PEHP PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2700 S Highway 191 Ste 2
City
State
Zip
84532-3443
Phone Number
435-259-4466
Fax Number
435-259-4467
person
Provider Business Mailing Address Details
Address
2700 S Highway 191 Ste 2
City
State
Zip
84532-3443
Phone Number
435-259-4466
Fax Number
435-259-4467
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
5160918-0144 (Utah)
Definition
Definition to come...
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