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Organization

KEITH W. LINFORD OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH W. LINFORD OD (OWNER)
(801) 390-5153
Entity
Organization

Contact information

Practice address
4360 S WASHINGTON BLVD, OGDEN, UT 84403
(801) 390-5153
(801) 476-0067
Mailing address
4360 S WASHINGTON BLVD, OGDEN, UT 84403
(801) 390-5153
(801) 476-0067

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1096749934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275512493
KEITH W. LINFORD OD (INDIVIDUAL) NPI
UT
01
529662284
KEITH W. LINFORD OD (SS# )
UT
05
529662284007
UT
Enumeration date
02/08/2008
Last updated
01/22/2009
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