BALTAZAR VEGA

OREM, UT
NPI1730431065
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: UT  6779772-9934)
Enumeration Date2012-10-10
Last Update Date2019-11-02
Business Address
Dr. BALTAZAR VEGA OD
560 S STATE ST STE A265
OREM, UT 84058
Phone number: 801-820-0920
Mailing Address
Dr. BALTAZAR VEGA OD
560 S STATE ST STE A265
OREM, UT 84058-6391
Phone number: 801-820-0920