Individual
DR. TORY JUSTINE GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
425 E 1200 S, STE. 200, HEBER CITY, UT 84032-3943
(435) 657-1555
(435) 657-1556
Mailing address
PO BOX 511, HEBER CITY, UT 84032-0511
(713) 320-1300
(435) 657-1556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3297ATI
OR
152W00000X
Optometrist
7211T
TX
152W00000X
Optometrist
Primary
7671967-9934
UT
Other
Enumeration date
02/03/2009
Last updated
07/08/2010
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