DR. Jerry Dale Carlson, O.D.
NPI #1982651287 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1982651287
- Entity Type
- Individual
- Name
- DR. Jerry Dale Carlson, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- May 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 955 N MAIN ST
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-1150
- Phone
- (801) 798-3557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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