Individual
BRUCE TODD CHILDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
261W DATA DR, DRAPER, UT 84020-2372
(801) 316-5820
(801) 316-7699
Mailing address
261W DATA DR, DRAPER, UT 84020-2372
(801) 316-5820
(801) 316-7699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5343369-9934
UT
Other
Enumeration date
04/18/2006
Last updated
11/16/2015
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