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Individual

THOMAS PAUL REDD DUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4400 S 700 E, SUITE140, MURRAY, UT 84107-3000
(801) 288-2020
(801) 350-0288
Mailing address
10011 CENTENNIAL PKWY, 400, SANDY, UT 84070-4156
(801) 288-2020
(801) 350-0288

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5148352-9934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51483529900001
BCBS
UT
01
70085
PEHP
UT
01
787584
DESERET MUTUAL BENEFITS
UT
Enumeration date
01/03/2007
Last updated
02/02/2012
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