Individual
DR. TAYLOR WADE BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7555 S CENTER VIEW CT STE 101, WEST JORDAN, UT 84084-1970
(801) 566-5683
Mailing address
7555 S CENTER VIEW CT STE 101, WEST JORDAN, UT 84084-1970
(801) 566-5683
(801) 255-8371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9822611-9934
UT
Other
Enumeration date
06/04/2016
Last updated
01/04/2019
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