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Individual

PAUL EDWARD REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2480 S HIGHWAY 89, SUITE B, PERRY, UT 84302-6727
(435) 239-7518
(435) 239-8735
Mailing address
2480 S HIGHWAY 89, SUITE B, PERRY, UT 84302-6727
(435) 239-7518
(435) 239-8735

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
369424-9934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MR0707349
D.E.A.
UT
Enumeration date
05/28/2006
Last updated
08/26/2015
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