Individual
DR. GORDON ALAN SEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
185 N VERNAL AVE, SUITE 3, VERNAL, UT 84078-2100
(435) 789-1552
(435) 789-1551
Mailing address
185 N VERNAL AVE, SUITE 3, VERNAL, UT 84078-2100
(435) 789-1552
(435) 789-1551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113748-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529198581009
—
UT
Enumeration date
09/20/2006
Last updated
07/08/2007
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