# RETINAPRO, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104061167
- **Authorized official:** JEANNE HESS (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (801) 408-3705

## Contact information

- **Practice address:** 440 D ST, 210, SALT LAKE CITY, UT 84103-2817
- **Practice address phone:** (801) 408-3705
- **Practice address fax:** (801) 408-3706
- **Mailing address:** 440 D ST, 210, SALT LAKE CITY, UT 84103-2817
- **Mailing address phone:** (801) 408-3705
- **Mailing address fax:** (801) 408-3706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 5216808-1205 | UT | Yes |

## Other

- **Enumeration date:** 12/04/2008
- **Last updated:** 01/08/2009