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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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