Individual
ALAN SEYBOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1025 E 3300 S, SALT LAKE CITY, UT 84106-2849
(801) 466-3937
Mailing address
1025 E 3300 S, SALT LAKE CITY, UT 84106-2849
(801) 466-3937
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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