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Organization
UNIVERSITY OF UTAH UVEITIS
Active
Organization
UNIVERSITY OF UTAH UVEITIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL J OLSON MD (DEPARTMENT CHAIR)
(801) 587-6336
Entity
Organization
Contact information
Practice address
65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2352
Mailing address
PO BOX 413075, SALT LAKE CITY, UT 84141-3075
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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