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Organization

DR ROY R GIBSON & ASSOCIATES OPTOMETRISTS P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROY R GIBSON D.O. (PRESIDENT)
(801) 391-1484
Entity
Organization

Contact information

Practice address
5690 S 3750 W, ROY, UT 84067-8161
(801) 985-4141
Mailing address
5690 S 3750 W, ROY, UT 84067-8161
(801) 985-4141

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113028-9934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000057653
PTAN
UT
Enumeration date
01/10/2008
Last updated
10/26/2012
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