| NPI | 1700074184 |
|---|---|
| Doing Business As | MARK A TAYLOR |
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN TAYLOR Optometrist 801-543-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 3450669934) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2020-01-15 |