David O. Edmunds Valid NPI
Individual provider · Optometrist · Provo, UT
- NPI
- 1114206034
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 9037744-9934 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-08-09
- Last updated
- 2019-10-22
Practice location
1055 N 300 W Ste 204
Provo, UT 84604-3374
(801) 357-7373