Organization
LEGACY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OREN CLARON ALLDREDGE MD (PRESIDENT)
(801) 288-0067
Entity
Organization
Contact information
Practice address
4400 S 700 E STE 140, SALT LAKE CITY, UT 84107-3053
(801) 288-0067
(801) 288-0067
Mailing address
4400 S 700 E STE 140, SALT LAKE CITY, UT 84107-3053
(801) 288-0067
(801) 288-0067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
155564-1205
UT
Other
Enumeration date
02/28/2007
Last updated
10/24/2007
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