NPI 1104061167

Retinapro, PC

Organisation Ophthalmology Physician Salt Lake City, UT

Practice location

Address: 440 D St 210, Salt Lake City, UT 84103-2817
Phone: (801) 408-3705
Fax: (801) 408-3706

Authorised official

Name: Jeanne Hess
Title: Office Administrator
Phone: (801) 408-3705

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 5216808-1205 (UT)

Other Ophthalmology providers in Utah →

Registry record

NPI: 1104061167
Entity type: Organization
NPI issued: 4 Dec 2008
Record last updated: 8 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.