Organization
MOUNT OGDEN EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE APADACA (SUPERVISOR)
(801) 529-2483
Entity
Organization
Contact information
Practice address
520 MEDICAL DR, STE 201, BOUNTIFUL, UT 84010-4968
(801) 292-8878
Mailing address
PO BOX 1529, LAYTON, UT 84041-6529
(801) 593-9223
(801) 593-9626
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
7143320-1205
UT
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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