Individual
DR. SCOTT ROBERTS HADERLIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
747 S MAIN ST, BRIGHAM CITY, UT 84302-3359
(435) 723-1800
Mailing address
747 S MAIN ST, BRIGHAM CITY, UT 84302-3359
(435) 723-1800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1142339934
UT
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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