DR. Jedediah Beal Lister, O.D.

NPI #1831442656 in St George, Utah

Provider Information

NPI Number: 1831442656
Entity Type: Individual
Name: DR. Jedediah Beal Lister, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 17, 2012
Last Updated: Aug 26, 2020

Practice Location

Address: 15 S RIVER RD STE 150
City: St George
State: Utah
ZIP Code: 84790-2106
Phone: (435) 465-2230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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