Organization
SALEM HILLS FAMILY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS CLARK (CEO)
(801) 368-5987
Entity
Organization
Contact information
Practice address
446 N STATE ROAD 198, SALEM, UT 84653-4605
(801) 368-5987
Mailing address
446 N STATE ROAD 198, SALEM, UT 84653-4605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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