Laser And Refractive

NPI 1275724684 - Clinic/Center - 261QS0132X

NPI Details
NPI 1275724684
Enumeration Date 08/09/2007
Last Updated 01/15/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PHILLIP C PHILLIP
Position CEO
Phone (801) 568-0200
Fax (801) 563-0200
Practice Location
11820 S STATE
100
DRAPER UT, 84020-9737, US
Phone (801) 568-0200
Fax (801) 563-0200
Business Location
11820 S STATE
SUITE 100
DRAPER UT, 84020-9737, US
Phone (801) 568-0200
Fax (801) 563-0200
Toxanomy
Taxonomy Code 261QS0132X
License State Utah
License Number 4728718-0160
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According to our database, Laser And Refractive NPI is 1275724684, taxonomy code is 261QS0132X and license number is 4728718-0160, license state is located at Utah. Laser And Refractive physically located at 11820 S State, Draper UT, 84020-9737. NPI Number 1033115704 has the healthcare provider type.

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1275724684 NPI number is provided on an as is basis without warranty of any kind. 1275724684 is maintained by the National Plan & Provider Enumeration System. The contents of Laser And Refractive are for informational purposes only.