Organization
COTTONWOOD EYE AND LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN E JACKSON M.D. (CO-PRESIDENT)
(801) 268-6600
Entity
Organization
Contact information
Practice address
201 E. 5900 S., STE 101, MURRAY, UT 84107-5428
(801) 268-6600
(801) 268-6602
Mailing address
201 E. 5900 S., STE 101, MURRAY, UT 84107-5428
(801) 268-6600
(801) 268-6602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
75845890160
UT
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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