Organization
ADVANCED VISION & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOYLE BURNETT O.D. (MANAGER)
(801) 393-4413
Entity
Organization
Contact information
Practice address
298 24TH ST, SUITE 315, OGDEN, UT 84401-1431
(801) 393-4413
Mailing address
298 24TH ST, SUITE 315, OGDEN, UT 84401-1431
(801) 393-4413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56760929934
UT
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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