BLAINE F. BIRD, O.D., P.C.

PROVO, UT
NPI1083817944
Entity TypeOrganization
Authorized ContactBLAINE F BIRD
President
801-374-2220
Organization Subpart ?No
Primary Taxonomy332H00000X Eyewear Supplier
(Licence: UT  1145549934)
Enumeration Date2007-06-07
Last Update Date2008-12-29
Business Address
BLAINE F. BIRD, O.D., P.C.
2255 N UNIVERSITY PKWY SUITE #1
PROVO, UT 84604-1588
Phone number: 801-374-2220
Mailing Address
BLAINE F. BIRD, O.D., P.C.
2255 N UNIVERSITY PKWY STE 1
PROVO, UT 84604-7505
Phone number: 801-374-2220
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