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ASHLEY PHAN
Optometrist
NPI: 1700469236IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
OptometristPrimary
Optometrist
Code: 152W00000X
12322408-9934(UT)10237T(TX)
CMS Specialties
PrimaryOPTOMETRY
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 11649 S 4000 W STE 200
SOUTH JORDAN, UT 84009 - Phone
- (801) 253-3080
Quick Facts
- NPI
- 1700469236
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 5
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