Individual
BRIAN HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2569 S 5600 W STE A550, WEST VALLEY, UT 84120-1363
(801) 297-1773
Mailing address
1 GOLF COURSE RD, BELLPORT, NY 11713-2345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12306575-9934
UT
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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