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Individual

SCOTT ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
393 ARIA BLVD, WENDOVER, UT 84083-4550
(435) 665-7923
Mailing address
PO BOX 1454, WENDOVER, UT 84083-1454
(435) 665-7923
(435) 665-7923

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6257946-9934
UT

Other

Enumeration date
08/31/2006
Last updated
07/16/2018
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