Whalio Doctors

NPI 1316956576

Paul Christian Bruderer, OD

Practitioner Optometrist West Valley City, UT

Practice location

Address
2782 S 5600 W STE 101, West Valley City, UT 84120-5592
Phone
(801) 969-9999
Fax
(801) 746-1007

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4942085-9934 (UT)

Registry record

NPI
1316956576
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Aug 2006
Record last updated
1 Jul 2020

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.