Individual
DR. SHAWN BEAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3747 S 2700 W, INSIDE COSTCO, WEST VALLEY, UT 84119-3721
(801) 996-9021
Mailing address
6456 W DAVIN VIEW DR, HERRIMAN, UT 84096-5727
(801) 512-9108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5950051-9934
UT
Other
Enumeration date
07/11/2005
Last updated
10/18/2016
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