Individual
DR. STACY LYNN RENCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4896 S 1900 W, ROY, UT 84067-2994
(801) 773-2999
Mailing address
4896 S 1900 W, ROY, UT 84067-2994
(801) 773-2999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1125529934
UT
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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