Individual
DR. DAVID BOYLE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4848 S 900 W, RIVERDALE, UT 84405-3726
(801) 627-9868
(801) 627-9870
Mailing address
298 24TH ST STE 315, OGDEN, UT 84401-1891
(801) 393-4413
(801) 392-0376
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56760929934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56760929934
STATE LICENSE
UT
Enumeration date
08/03/2006
Last updated
03/07/2023
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