Individual
DR. MASON GERAL LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
54 E 100 N, PRICE, UT 84501-2404
(435) 637-2414
(435) 637-8205
Mailing address
54 E 100 N, PRICE, UT 84501-2404
(435) 637-2414
(435) 637-8205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8673018-9934
UT
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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