Individual
DR. JEFFERY LOVELL MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.ED.
Contact information
Practice address
10412 S 2200 W, SOUTH JORDAN, UT 84095-8333
(801) 858-2020
(801) 610-2138
Mailing address
15037 WINGED BLUFF LN, DRAPER, UT 84020-5719
(801) 649-3692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
328094-9934
UT
Other
Enumeration date
08/04/2006
Last updated
06/30/2022
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