Individual
JOSHUA DEAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
460 N 325 E, OGDEN, UT 84404-3578
(801) 614-7239
Mailing address
256 W ANTELOPE DR APT D, LAYTON, UT 84041-6050
(435) 213-0784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11839138-9934
UT
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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