Individual
ALAN BRANT GUMMOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
307 N 300 W, SUITE 302, KAYSVILLE, UT 84037-1852
(801) 444-9977
(801) 444-2610
Mailing address
307 N 300 W, SUITE 302, KAYSVILLE, UT 84037-1852
(801) 444-9977
(801) 444-2610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6675342-9934
UT
Other
Enumeration date
10/22/2007
Last updated
10/06/2014
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