Organization
FELLOWS & MORTENSEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN J. MORTENSEN O.D. (PARTNER)
(801) 566-4119
Entity
Organization
Contact information
Practice address
9035 S 1300 E STE 100, SANDY, UT 84094-3131
(801) 566-4119
(801) 568-3844
Mailing address
9035 S 1300 E STE 100, SANDY, UT 84094-3131
(801) 566-4119
(801) 568-3844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5898711-9934
UT
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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