Individual
DIX PETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.S.
Contact information
Practice address
65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0005
(801) 581-2352
Mailing address
65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0005
(801) 581-2352
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9418444-9934
UT
Other
Enumeration date
05/28/2015
Last updated
11/11/2021
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