BENJAMIN T DASTRUP

SOUTH OGDEN, UT
NPI1073797809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: UT  5484681)
Additional Taxonomies207W00000X Ophthalmology
(Licence: IN  01062307)
Enumeration Date2007-12-28
Last Update Date2025-10-09
Business Address
-- BENJAMIN T DASTRUP MD
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405-4977
Phone number: 801-399-1149
Mailing Address
-- BENJAMIN T DASTRUP MD
875 COUNTRY HILLS DR
OGDEN, UT 84403-2200
Phone number: 801-399-1149