Organization
ROBERT P WOOLDRIDGE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P WOOLDRIDGE OD (DIRECTOR)
(801) 268-6408
Entity
Organization
Contact information
Practice address
201 E 5900 S STE 201, MURRAY, UT 84107-5431
(801) 268-6408
(801) 262-9216
Mailing address
201 E 5900 S STE 201, MURRAY, UT 84107-5431
(801) 268-6408
(801) 262-9216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1126319934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419840939008
—
UT
Enumeration date
11/07/2008
Last updated
11/07/2008
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