NPI 1013015650

Michael D Conklin, OD

Practitioner Optometrist Salt Lake City, UT

Practice location

Address: 350 Hope Ave, Salt Lake City, UT 84115-5116
Phone: (801) 484-8662
Fax: (801) 484-8664
Mailing address: 8654 Alta Cove Dr, Sandy, UT 84093-1687

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5354412-9934 (UT)

Other Optometrist providers in Utah →

Registry record

NPI: 1013015650
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 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.