Organization
RETINA AND VITREOUS SURGEONS OF UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P COREY M.D. (PRESIDENT)
(801) 357-7704
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
(801) 357-7424
Mailing address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
(801) 357-7424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
08/16/2023
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