Individual
MR. DAVID O. EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N 300 W STE 204, PROVO, UT 84604-3374
(801) 357-7373
(801) 357-7217
Mailing address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9037744-9934
UT
Other
Enumeration date
08/09/2011
Last updated
10/22/2019
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