Organization
EYE PHYSICIANS OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOYD KELLY GUBLER O.D. (MEMBER)
(801) 889-8420
Entity
Organization
Contact information
Practice address
845 N 100 W, SUITE 110, OREM, UT 84057-3195
(801) 889-8420
Mailing address
313 N 650 E, OREM, UT 84097-4905
(801) 889-8420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
70608539934
UT
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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