CARLYLE DEREK SWAIN

SOUTH JORDAN, UT
NPI1184725632
Other NameCARL SWAIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: UT  328411-9934)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Dr. CARLYLE DEREK SWAIN O.D.
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095-4112
Phone number: 801-571-1364
Mailing Address
Dr. CARLYLE DEREK SWAIN O.D.
1107 W 8600 S
WEST JORDAN, UT 84088-8432
Phone number: 801-860-5100