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Individual

DR. JASON FOOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1689 NONCONNAH BLVD STE 120, MEMPHIS, TN 38132-2111
(901) 523-8990
Mailing address
301 E TABERNACLE ST, STE 101, ST GEORGE, UT 84770-7124
(435) 673-3558

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11277045-9934
UT
152W00000X
Optometrist
3443
TN

Other

Enumeration date
06/01/2018
Last updated
06/03/2019
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