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Individual

BRADLEY BURTON ROUNDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
37 E 100 N, HEBER CITY, UT 84032-1700
(435) 654-1863
(435) 657-0739
Mailing address
37 E 100 N, HEBER CITY, UT 84032-1700
(435) 654-1863
(435) 657-0739

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113789-9934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5599622920002
UT
Enumeration date
10/20/2006
Last updated
12/27/2012
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