Organization
UNIVERSITY OF UTAH NEURO-OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL J OLSON MD (DEPARTMENT CHAIR)
(801) 581-3195
Entity
Organization
Contact information
Practice address
65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0005
(801) 581-3195
Mailing address
65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0005
(801) 581-3195
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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