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Individual

DR. MICHAEL D CONKLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
350 HOPE AVE, SALT LAKE CITY, UT 84115-5116
(801) 484-8662
(801) 484-8664
Mailing address
8654 ALTA COVE DR, SANDY, UT 84093-1687
(801) 879-4232

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5354412-9934
UT

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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