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Organization

FRANK A. SIDDOWAY, OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK A. SIDDOWAY OD, PC (OWNER)
(801) 489-5166
Entity
Organization

Contact information

Practice address
262 E 400 S, SPRINGVILLE, UT 84663-1956
(801) 489-5166
(801) 491-7694
Mailing address
262 E 400 S, SPRINGVILLE, UT 84663-1956
(801) 489-5166
(801) 491-7694

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1125699934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529902626008
UT
Enumeration date
12/11/2007
Last updated
05/06/2011
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