Individual
ROSS JEX CHATWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1792 W 1700 S STE 202, SYRACUSE, UT 84075-9651
(801) 774-8707
Mailing address
2178 S 900 E STE 4, SALT LAKE CITY, UT 84106-2388
(801) 484-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9033347-9934
UT
Other
Enumeration date
05/21/2014
Last updated
11/02/2015
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