Organization
DR. SHAWN D BEAGLEY OPTOMETRIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN DAVID BEAGLEY O.D. (PRESIDENT)
(801) 302-2265
Entity
Organization
Contact information
Practice address
3747 S 2700 W, WEST VALLEY CITY, UT 84119-3721
(801) 996-9021
Mailing address
4684 FIRMONT DR, SOUTH JORDAN, UT 84095-8180
(801) 302-2265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
59500519934
UT
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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