Organization
RETINA AND VITREOUS SURGEONS OF UTAH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALAN CARVER MD (PRESIDENT OR CEO)
(801) 357-7704
Entity
Organization
Contact information
Practice address
1055 N 300 W, SUITE 210, PROVO, UT 84604-3344
(801) 357-7704
(801) 357-7424
Mailing address
1055 N 300 W, SUITE 210, PROVO, UT 84604-3344
(801) 357-7704
(801) 357-7424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
165213-1205
UT
Other
Enumeration date
03/26/2007
Last updated
04/28/2008
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