ROCKY MOUNTAIN RETINA CONSULTANTS NPI 1710980354

NPI Information

ROCKY MOUNTAIN RETINA CONSULTANTS is a retina specialist ophthalmology in Salt Lake City, UT. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. ROCKY MOUNTAIN RETINA CONSULTANTS NPI is 1710980354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4400 S 700 E
STE 200
SALT LAKE CITY, UT
ZIP 84107-000
Phone: (801) 264-4444
Fax: (801) 281-2383

The provider's authorized official is Roy Allen Goodart .
The authorized official title is President and has the following contact phone number (801) 264-4444.

The CLIA number assigned to this NPI record is 46D0948810 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 12/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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