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Organization
MKG ENTERPRISES
Active
Organization
MKG ENTERPRISES
Active
Parent organization
MKG ENTERPRISES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MKG ENTERPRISES
Authorized official
MICHAEL TODD GRIFFETH VII M.D. (OWNER)
(435) 843-8333
Entity
Organization
Contact information
Practice address
196 E 2000 N, SUITE 109, TOOELE, UT 84074-9335
(435) 843-8333
Mailing address
PO BOX 1140, TOOELE, UT 84074-1140
(435) 843-8333
(435) 843-8334
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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