Individual
DR. KRISTIN OW BRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 E 3900 S, SALT LAKE CITY, UT 84107-2176
(801) 266-2283
(801) 268-6151
Mailing address
755 E 3900 S, SALT LAKE CITY, UT 84107-2176
(801) 266-2283
(801) 268-6151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9273536-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068983
—
UT
Enumeration date
05/25/2011
Last updated
02/16/2021
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