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Organization
RETINAPRO, PC
Active
Organization
RETINAPRO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE HESS (OFFICE ADMINISTRATOR)
(801) 408-3705
Entity
Organization
Contact information
Practice address
440 D ST, 210, SALT LAKE CITY, UT 84103-2817
(801) 408-3705
(801) 408-3706
Mailing address
440 D ST, 210, SALT LAKE CITY, UT 84103-2817
(801) 408-3705
(801) 408-3706
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5216808-1205
UT
Other
Enumeration date
12/04/2008
Last updated
01/08/2009
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