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Organization
GLAUKOM LLC
Active
Organization
GLAUKOM LLC
Active
Other names
Clarus Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CHRISTIANSEN 8018928222 (OWNER)
(801) 892-8222
Entity
Organization
Contact information
Practice address
6344 S 900 E, SALT LAKE CITY, UT 84121-2439
(801) 892-8222
(801) 904-3436
Mailing address
6344 S 900 E, SALT LAKE CITY, UT 84121-2439
(801) 892-8222
(801) 904-3436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
73669439934
UT
207W00000X
Ophthalmology Physician
Primary
73837368905
UT
Other
Enumeration date
06/28/2013
Last updated
02/25/2015
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