Organization
MKG ENTERPRISES
Active
Parent organization
MKG ENTERPRISES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MKG ENTERPRISES
Authorized official
MICHAEL TODD GRIFFETH VII M.D. (OWNER)
(435) 843-8333
Entity
Organization
Contact information
Practice address
196 E 2000 N, SUITE 109, TOOELE, UT 84074-9335
(435) 843-8333
Mailing address
PO BOX 1140, TOOELE, UT 84074-1140
(435) 843-8333
(435) 843-8334
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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