Individual
DR. CHAD L RIGTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1675 N 200 W, #11A, PROVO, UT 84604-2570
(801) 374-2227
Mailing address
1675 N 200 W, #11A, PROVO, UT 84604-2570
(801) 374-2227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5950660-9934
UT
Other
Enumeration date
08/31/2006
Last updated
04/24/2008
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