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Organization

BOUNTIFUL EYE CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT MURRAY WILKES O.D. (OWNER)
(801) 295-2020
Entity
Organization

Contact information

Practice address
140 S MAIN ST, BOUNTIFUL, UT 84010-6234
(801) 295-2020
(801) 292-8761
Mailing address
140 S MAIN ST, BOUNTIFUL, UT 84010-6234
(801) 295-2020
(801) 292-8761

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
98-358145-9934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870635456009
UT
Enumeration date
11/08/2007
Last updated
02/28/2011
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