Organization
DR. COURTNEY SIVERTSON, P.C.
Active
Other names
Mountain Home Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY RAY SIVERTSON O.D. (PRESIDENT)
(801) 471-1055
Entity
Organization
Contact information
Practice address
7915 CITORI DR, E102, SANDY, UT 84070-0196
(801) 471-1055
Mailing address
7915 CITORI DR, E102, SANDY, UT 84070-0196
(801) 471-1055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6246453-9934
UT
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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