Individual
NATHAN WALTER LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1580 W ANTELOPE DR STE 175, LAYTON, UT 84041-1175
(801) 773-2233
(801) 773-2375
Mailing address
1580 W ANTELOPE DR STE 175, LAYTON, UT 84041-1175
(801) 773-2233
(801) 773-2375
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11499132-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4006687
—
UT
Enumeration date
03/29/2016
Last updated
02/02/2021
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