University of Utah Hospitals and Clinics

NPI #1235395377 in Layton, Utah

Provider Information

NPI Number: 1235395377
Entity Type: Organization
Organization Name: University of Utah Hospitals and Clinics
Primary Specialty: Optometrist
Enumeration Date: Jul 29, 2008
Last Updated: Jul 29, 2008

Practice Location

Address: 1492 W ANTELOPE DR
Address 2: STE. 150
City: Layton
State: Utah
ZIP Code: 84041-1139
Phone: (801) 776-7804

Authorized Official

Name: DR. SUSAN A TERRY, MD
Title: MEDICAL DIRECTOR
Phone: (801) 587-6307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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