Roy Raymond Gibson, O.D.

NPI #1104816743 in Riverdale, Utah

Provider Information

NPI Number
1104816743
Entity Type
Individual
Name
Roy Raymond Gibson, O.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Oct 25, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4949 S 900 W
State
Utah
ZIP Code
84405-3777
Phone
(801) 621-0480

Specialties & Taxonomy Codes

Specialty
Optometrist

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