| NPI | 1144622234 |
|---|---|
| Doing Business As | SALT LAKE RETINA |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S MEHR President 801-260-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207W00000X Ophthalmology (Licence: UT 5934492-1205) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2023-04-10 |