Organization
MICHAEL F. PINGREE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F. PINGREE M.D. PC (PRESIDENT)
(801) 966-0081
Entity
Organization
Contact information
Practice address
3465 S 4155 W STE 4, WEST VALLEY CITY, UT 84120-2079
(801) 966-0081
(801) 966-0218
Mailing address
3465 S 4155 W STE 5, WEST VALLEY CITY, UT 84120-2081
(801) 966-0081
(801) 966-0218
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
47809529934
UT
156FX1100X
Ophthalmic Technician/Technologist
Primary
51179711205
UT
Other
Enumeration date
10/11/2007
Last updated
06/23/2010
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