Individual
JAMIE M MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 N 400 W, OREM, UT 84057-1909
(801) 224-6767
(801) 221-1052
Mailing address
PO BOX 30015, DPT 93, SALT LAKE CITY, UT 84130-0015
(801) 476-0494
(801) 479-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
261919-8905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164613790
FACILITY NPI
UT
01
—
1619075678
DR MONROE NPI
UT
01
—
1700927043
GROUP NPI
UT
Enumeration date
09/20/2006
Last updated
03/07/2023
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