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Individual

TERRY H BERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
250 E 300 S, SALT LAKE CITY, UT 84111-2418
(801) 322-0467
(801) 363-6053
Mailing address
250 E 300 S, SALT LAKE CITY, UT 84111-2418
(801) 322-0467
(801) 363-6053

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1107759934
UT

Other

Enumeration date
11/11/2005
Last updated
07/16/2010
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