Organization
BRUCE R BEAN OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE BEAN (PROVIDER)
(801) 358-4814
Entity
Organization
Contact information
Practice address
585 N STATE ST, LINDON, UT 84042-1339
(801) 785-8512
(801) 785-8514
Mailing address
347 W 110 S, LINDON, UT 84042-1724
(801) 358-4814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528515801001
—
UT
Enumeration date
02/24/2020
Last updated
03/16/2020
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