Individual
DR. DEEPIKA BAGGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
243 E 6100 S, MURRAY, UT 84107-7302
(801) 585-3937
Mailing address
243 E 6100 S, MURRAY, UT 84107-7302
(801) 585-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12817345-9934
UT
152W00000X
Optometrist
OEG001132
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012229520003
—
PA
Enumeration date
03/07/2007
Last updated
12/22/2022
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