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Individual

DR. CAMRON JOHN BATEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
849 E 400 S, SALT LAKE CITY, UT 84102-2928
(801) 328-2020
Mailing address
12229 FLINTLOCK WAY, HERRIMAN, UT 84096-3473
(801) 554-4286

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
62232979934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902839905
UT
01
P00400350
RAILROAD MEDICARE
UT
Enumeration date
07/10/2006
Last updated
04/16/2008
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