Individual
RYAN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
6779 W CANTERBURY WAY, HIGHLAND, UT 84003-9225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9831259-9934
UT
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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