Individual
ROBERT H. CORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-9940
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 213-9940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
263280-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410037478
RAILROAD MEDICARE
UT
Enumeration date
10/18/2006
Last updated
11/12/2021
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