Individual
DR. MASON MATTHEW WYBROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
308 N MARKET PLACE DR, CENTERVILLE, UT 84014-1702
(801) 294-6111
(801) 294-6222
Mailing address
308 N MARKET PLACE DR, CENTERVILLE, UT 84014-1702
(801) 294-6111
(801) 294-6222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7730250-9934
UT
Other
Enumeration date
11/22/2006
Last updated
07/21/2022
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