OLYMPUS EYE ASSOCIATES, PC
Medical Practice at Fashion Blvd, Salt Lake City, UT

License number
Utah 7871004-0144
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. DAVID THOMAS BROCKBANK M.D.
Title: OWNER
Phone: (801) 261-0726
Address
Address
6065 Fashion Blvd STE. 125, Salt Lake City, UT 84107
National Provider ID: 1912202425
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OLYMPUS EYE ASSOCIATES, PC

Salt Lake City, UT

Status:
Inactive
Industry:
Business Services, Medical Doctor's Office, Nonclassifiable Establishments, ...
Doing business as:
Olympus Eye Associates
Registration:
Jan 3, 2011
Phone:
(801) 261-0726 (Phone)
Addresses:
6065 S Fashion Blvd (300 E) STE 125, Salt Lake City, UT 84107 (Physical)
6065 Fashion Blvd, Salt Lake City, UT 84107
State ID:
7871004-0144
Business type:
Corporation - Professional
Owner, Medical Doctor, Ophthalmologys:
Stephen R. Brockbank (Optometrist),David Thomas Brockbank Owner, Medical Doctor, Ophthalmology, inactive
Agent:
David T Brockbank,807 E 2900 N, Lehi, UT 84043 (Physical)

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