Individual
WILLIAM J BOGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2319 HIGHLAND DR, SALT LAKE CITY, UT 84106-2810
(801) 485-1371
(801) 485-0936
Mailing address
2319 HIGHLAND DR, SALT LAKE CITY, UT 84106-2810
(801) 485-1371
(801) 485-0936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1106879934
UT
Other
Enumeration date
11/14/2005
Last updated
07/08/2008
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