Individual
JARED GARY FREESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
262 E 400 S, SPRINGVILLE, UT 84663-1956
(801) 649-8009
Mailing address
262 E 400 S, SPRINGVILLE, UT 84663-1956
(801) 649-8009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9631881-9934
UT
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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