Individual
BRYAN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
65 N MEDICAL DR, SALT LAKE CITY, UT 84132-1000
(801) 581-2352
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-3195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
109346-9934
UT
Other
Enumeration date
10/18/2006
Last updated
12/20/2021
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