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Organization
SALT LAKE EYE ASSOCIATES, LLC
Active
Organization
SALT LAKE EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SHARON BENATOR MD (OWNER)
(801) 281-2020
Entity
Organization
Contact information
Practice address
1025 E 3300 S, SUITE B, SALT LAKE CITY, UT 84106-4389
(801) 281-2020
(801) 487-3689
Mailing address
1025 E 3300 S, SUITE B, SALT LAKE CITY, UT 84106-4389
(801) 281-2020
(801) 487-3689
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
177470-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053316976
NPI
UT
01
—
1093822561
NPI
UT
01
—
1518298678
NPI
UT
Enumeration date
02/19/2013
Last updated
02/19/2013
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