AEG UTAH PROFESSIONAL INC

LOGAN, UT
NPI1154212777
Entity TypeOrganization
Authorized ContactMELISSA ALLISON
Sr. Director Managed Vision Care
618-604-5208
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2025-07-11
Last Update Date2025-07-11
Business Address
AEG UTAH PROFESSIONAL INC
1300 N 200 E STE 104
LOGAN, UT 84341-2460
Phone number: 435-752-6453
Mailing Address
AEG UTAH PROFESSIONAL INC
111 E 4TH ST STE 440
ALTON, IL 62002-6206
Phone number: