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Individual

DR. JOHN B FASSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 HOMESTEAD RD, PARK CITY, UT 84098-4857
(435) 658-3090
(435) 658-3094
Mailing address
2700 HOMESTEAD RD, PARK CITY, UT 84098-4857
(435) 615-0435
(435) 658-3094

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
262669-1205
UT
207W00000X
Ophthalmology Physician
6778A
WY

Other

Enumeration date
07/06/2005
Last updated
12/12/2024
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