Individual
DR. RYAN J MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11506 S DISTRICT DR, STE 400, SOUTH JORDAN, UT 84095-5769
(801) 495-4833
(801) 495-4836
Mailing address
11506 S DISTRICT DR, STE 400, SOUTH JORDAN, UT 84095-5769
(801) 495-4833
(801) 495-4836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5898711-9934
UT
Other
Enumeration date
08/12/2005
Last updated
01/07/2016
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