Individual
TODD W MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1741 N 2000 W, FARR WEST, UT 84404-9810
(017) 315-5558
(801) 731-3143
Mailing address
1741 N 2000 W, FARR WEST, UT 84404-9810
(801) 731-5558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5641
OH
152W00000X
Optometrist
Primary
8141255-9934
UT
Other
Enumeration date
10/18/2006
Last updated
12/21/2023
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