Individual
DR. JUSTIN RAY HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(202) 597-9686
Mailing address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
7061014-8908
UT
152W00000X
Optometrist
Primary
7061014-9934
UT
Other
Enumeration date
07/31/2008
Last updated
01/31/2023
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