Frank a Siddoway Od PC

NPI #1073786505 in Provo, Utah

Provider Information

NPI Number: 1073786505
Entity Type: Organization
Organization Name: Frank a Siddoway Od PC
Primary Specialty: Optometrist
Enumeration Date: Apr 4, 2008
Last Updated: May 6, 2011

Practice Location

Address: 1675 N 200 W
Address 2: #11-A
City: Provo
State: Utah
ZIP Code: 84604-2540
Phone: (801) 374-2227

Authorized Official

Name: DR. FRANK A SIDDOWAY, OD
Title: DOCTOR
Phone: (801) 374-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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