Individual
DR. MICHAEL MERLIN JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5331 ADAMS AVE PKWY, SUITE B, SOUTH OGDEN, UT 84405-4753
(801) 479-7850
Mailing address
5331 ADAMS AVE PKWY, SUITE B, SOUTH OGDEN, UT 84405-4753
(801) 479-7850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
375535-9934
UT
Other
Enumeration date
07/18/2005
Last updated
05/18/2012
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