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Organization
MOUNTAIN VALLEY EYE INSTITUTE PC
Active
Organization
MOUNTAIN VALLEY EYE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B FASSIO MD (PRESIDENT)
(435) 615-0435
Entity
Organization
Contact information
Practice address
2700 HOMESTEAD RD, PARK CITY, UT 84098-4857
(435) 658-3090
(435) 658-3094
Mailing address
2700 HOMESTEAD RD, PARK CITY, UT 84098-4857
(435) 615-0435
(435) 658-3094
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/09/2005
Last updated
07/21/2022
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