COVID 19 and SARS CoV2 Practice Update
UVNN is committed to providing uninterrupted high quality and safe neurosurgical care throughout the pandemic. Our office remains open. We practice safety measures that meet or exceed all CDC and State guidelines to protect our patients, our staff, and our providers.
To that end, all initial consultations are performed via Telehealth visits using HIPAA compliant software. Whenever reasonable all follow up appointments also utilize telehealth. Our staff have become proficient at helping patients connect to our Telehealth service, and optimally two-way video and audio will be established.
In the event it is mutually agreed that an in-office visit is required this will be arranged promptly. We regularly update our safety practices to meet or exceed current guidelines. If you would like details, please call for the latest information.
About UVNN
Upper Valley Neurology Neurosurgery is dedicated to providing direct patient access to its physicians and providing state of the art, personalized care in private practice settings.

In 1994, Donald W. Ayres, MD moved back to the Upper Valley by way of Sioux City, Iowa. He was appointed to staff at Alice Peck Day Memorial Hospital (APD) and simultaneously founded Upper Valley Neurology (UVN) offering his expertise in neurology and subspecialty Multiple Sclerosis (MS) care with the support of just one employee. Four years later in 1998, Richard L. Saunders, MD joined UVN, adding neurosurgical services and UVN became Upper Valley Neurology Neurosurgery (UVNN).
“UVNN is by far the best and most caring clinic I have ever been to. Everyone makes you feel comfortable and relaxed.”
UVNN Services
UVNN provides “state of the art” neurosurgical services as well as neurological services in support of neurosurgical ailments. We rely on minimally invasive, minimally disruptive techniques and technologies to facilitate your care with the least pain and fastest recovery. Our personalized, patient-focused approach gives you direct access to your surgical team beginning with your very first appointment.
Contact UVNN
Contact us to make an appointment or ask a question
Our office will be happy to answer your inquiries and will contact you in a timely manner: