Individual
DR. MICHAEL SCOTT BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
99 W 1280 N, TOOELE, UT 84074-9093
(435) 833-9043
Mailing address
430 E 400 N, LINDON, UT 84042-1505
(801) 785-4525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6275057-9934
UT
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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