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Individual

DR. JOE REX HAGGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1055 N 300 W, STE 204, PROVO, UT 84604-3374
(801) 357-7373
(801) 357-7217
Mailing address
1055 N 300 W, STE 204, PROVO, UT 84604-3374
(801) 357-7373
(801) 357-7217

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1131489934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D0696
UT
Enumeration date
06/30/2005
Last updated
06/08/2021
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