NPI | 1427241843 |
---|---|
Doing Business As | WEST VALLEY VISION SOURCE |
Entity Type | Organization |
Authorized Contact | PAUL CHRISTIAN BRUDERER Owner 801-969-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 4942085-9934) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2022-02-04 |