Organization
RONALD D KIRK O D INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DEAN KIRK OD (OWNER)
(435) 678-2324
Entity
Organization
Contact information
Practice address
46 N MAIN ST, BLANDING, UT 84511-2830
(435) 678-2324
(435) 678-3344
Mailing address
46 N MAIN ST, BLANDING, UT 84511-2830
(435) 678-2324
(435) 678-3344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521929262017
—
UT
Enumeration date
05/07/2008
Last updated
07/21/2022
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