Benjamin T Dastrup MD

NPI 1073797809 - Ophthalmology - 207W00000X

NPI Details
NPI 1073797809
Gender Male
Enumeration Date 12/28/2007
Last Updated 06/26/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
875 COUNTRY HILLS DR
OGDEN UT, 84403-2200, US
Phone (801) 399-1149
Fax (801) 394-4481
Business Location
875 COUNTRY HILLS DR
OGDEN UT, 84403-2200, US
Phone (801) 399-1149
Fax (801) 394-4481
Toxanomy
Taxonomy Code 207W00000X
License State Indiana
License Number 01062307
Remove 1073797809 NPI Number
 

According to our database, Benjamin T Dastrup MD NPI is 1073797809, taxonomy code is 207W00000X and license number is 01062307, license state is located at Indiana. Benjamin T Dastrup MD physically located at 875 Country Hills Dr, Ogden UT, 84403-2200. NPI Number Benjamin T Dastrup MD has the Individual type.

Sponsored links

1073797809 NPI number is provided on an as is basis without warranty of any kind. 1073797809 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin T Dastrup MD are for informational purposes only.