Rocky Mountain Retina Consultants in Salt Lake City - Retina Specialist
Rocky Mountain Retina Consultants - NPI 1710980354
Rocky Mountain Retina Consultants is a Retina Specialist in Salt Lake City, Utah. Rocky Mountain Retina Consultants practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Rocky Mountain Retina Consultants is 1710980354. The last update date is 2019-12-04.
Rocky Mountain Retina Consultants's current location address is 4400 S 700 E, Salt Lake City, Utah. You can contact this provider via phone number 8012644444 and fax number 8012812383. The mailing address for Rocky Mountain Retina Consultants is 4400 S 700 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rocky Mountain Retina Consultants |
|---|---|
| Address | 4400 S 700 E, Salt Lake City, Utah |
| Phone Number | 8012644444 |
| Fax Number | 8012812383 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goodart Allen Roy |
| Credentials | M.D. |
| Telephone Number | 8012644444 |
NPI Number Detail
| NPI Number | 1710980354 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2019-12-04 |
Provider Mailing Address Detail
| Address | 4400 S 700 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 8410730000 |
| Phone Number | 8012644444 |
| Fax Number | 8012812383 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
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Could you share the physical location details of Rocky Mountain Retina Consultants?
The Rocky Mountain Retina Consultants is situated at 4400 S 700 E, in the city of Salt Lake City, state of UT, with the zip code 8410730000.
When did Rocky Mountain Retina Consultants receive its 1710980354 assignment?
The Rocky Mountain Retina Consultants was assigned its 1710980354 on 2005-05-27, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710980354 to Rocky Mountain Retina Consultants?
The Centers for Medicare & Medicaid Services originally issued the 1710980354 to Rocky Mountain Retina Consultants on 2005-05-27.
As of what date were the details pertaining to Rocky Mountain Retina Consultants last refreshed?
The information related to the Rocky Mountain Retina Consultants, including its address, specialty, and other relevant details, was last updated on 2019-12-04.
When was the information regarding Rocky Mountain Retina Consultants, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rocky Mountain Retina Consultants, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-04.
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