Derek Busenbark Ames, O.D.

NPI #1174836431 in St George, Utah

Provider Information

NPI Number: 1174836431
Entity Type: Individual
Name: Derek Busenbark Ames, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 15, 2010
Last Updated: Jun 14, 2012

Practice Location

Address: 2610 PIONEER RD
City: St George
State: Utah
ZIP Code: 84790-7442
Phone: (435) 674-9770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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