NPI 1235266776

Legacy Medical PC

Organisation Ophthalmology Physician Salt Lake City, UT

Practice location

Address: 4400 S 700 E STE 140, Salt Lake City, UT 84107-3053
Phone: (801) 288-0067
Fax: (801) 288-0067

Authorised official

Name: Oren Claron Alldredge
Title: President
Phone: (801) 288-0067

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 155564-1205 (UT)

Other Ophthalmology providers in Utah →

Registry record

NPI: 1235266776
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 24 Oct 2007

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.