Ryan J Mortensen O.D.

NPI 1003818576 - Optometrist - 152W00000X

NPI Details
NPI 1003818576
Gender Male
Enumeration Date 08/12/2005
Last Updated 01/07/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
11506 S DISTRICT DR
STE 400
SOUTH JORDAN UT, 84095-5769, US
Phone (801) 495-4833
Fax (801) 495-4836
Business Location
11506 S DISTRICT DR
STE 400
SOUTH JORDAN UT, 84095-5769, US
Phone (801) 495-4833
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Utah
License Number 5898711-9934
Remove 1003818576 NPI Number
 

According to our database, Dr. Ryan J Mortensen O.D. NPI is 1003818576, taxonomy code is 152W00000X and license number is 5898711-9934, license state is located at Utah. Ryan J Mortensen O.D. physically located at 11506 S District Dr, South Jordan UT, 84095-5769. NPI Number Ryan J Mortensen O.D. has the Individual type.

Sponsored links

1003818576 NPI number is provided on an as is basis without warranty of any kind. 1003818576 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan J Mortensen O.D. are for informational purposes only.