Individual
MARK CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
908 N 2000 W, PLEASANT GROVE, UT 84062
(801) 492-6393
Mailing address
4768 N WOODBERRY DR, LEHI, UT 84043-4051
(662) 420-1242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9415836-9934
UT
152WP0200X
Pediatric Optometrist
9415836-9934
UT
152WV0400X
Vision Therapy Optometrist
9415836-9934
UT
Other
Enumeration date
11/21/2011
Last updated
08/07/2015
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