NPI 1265907620

Central Utah Clinic, P.C.

Organisation Eyewear Supplier Murray, UT

Practice location

Address: 5872 S 900 E STE 100, Murray, UT 84121-1677
Phone: (801) 261-0726
Fax: (801) 262-2838
Mailing address: 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305

Authorised official

Name: Jed Bradley Harston
Title: Director of Managed Care
Phone: (801) 812-5012

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Utah →

Registry record

NPI: 1265907620
Entity type: Organization
NPI issued: 11 Oct 2018
Record last updated: 11 Oct 2018

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.