GREG MICHAEL WENOM

OGDEN, UT
NPI1356420590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: UT  277432-9934)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
-- GREG MICHAEL WENOM O.D.
5735 HARRISON BLVD
OGDEN, UT 84403-4324
Phone number: 801-393-9440
Mailing Address
-- GREG MICHAEL WENOM O.D.
1005 PINNOCCHIO DR
SALT LAKE CITY, UT 84116-2132
Phone number: 801-355-6613