Individual
ROBERT P WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D. PC
Contact information
Practice address
201 E 5900 S, #201, MURRAY, UT 84107-7379
(801) 268-6408
(801) 262-9216
Mailing address
201 E 5900 S, #201, MURRAY, UT 84107
(801) 268-6408
(801) 262-9216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1126318908
UT
152W00000X
Optometrist
Primary
1126319934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180009389
RAILROAD MEDICARE
UT
Enumeration date
05/23/2006
Last updated
08/01/2012
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