Benjamin T Dastrup, MD

NPI #1073797809 in South Ogden, Utah

Provider Information

NPI Number: 1073797809
Entity Type: Individual
Name: Benjamin T Dastrup, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Dec 28, 2007
Last Updated: Oct 9, 2025

Practice Location

Address: 1483 E RIDGELINE DR STE 100
City: South Ogden
State: Utah
ZIP Code: 84405-4977
Phone: (801) 399-1149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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