Organization · Type 2 NPI
Eye Surg of Utah, LLC
Ophthalmologic Surgery Clinic/Center · Draper, UT
NPI number
1629069281
Active
Practice location
11820 South State Street, 150
Draper, UT 84020-7160
Fax (801) 563-0200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmologic Surgery Clinic/Center Primary | 261QS0132X | 2000ASF11451 (UT) |
Ophthalmologic Surgery Clinic/Center: Definition to come...
Other ophthalmologic surgery clinic/center providers in Draper
About NPI 1629069281
Eye Surg of Utah, LLC's National Provider Identifier is 1629069281, issued on Nov 2, 2005. The primary taxonomy on file is Ophthalmologic Surgery Clinic/Center (261QS0132X), and the practice location is in Draper, UT. The record was last updated on Oct 9, 2013.