Avalon Oculoplastics PC

Organization Active NPI Ophthalmologic Surgery Clinic/Center · Spanish Fork, UT

NPI 1659640548 · NPPES record last updated Dec 21, 2011

Key facts

NPI
1659640548
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmologic Surgery Clinic/Center 261QS0132X
License
8062924-1205 (UT)
Legal business name
AVALON OCULOPLASTICS PC
Practice address
78 E 900 N
Spanish Fork, UT 84660-1232
Phone
(801) 794-4964
Fax
(801) 798-8298
NPI assigned
Dec 21, 2011
Organization subpart
No

Authorized official

Name
Conley Call, MD
Title
Physician/Owner
Phone
(801) 794-4964

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 8062924-1205 UT Yes

Addresses

Primary practice location

78 E 900 N
Spanish Fork, UT 84660-1232

Mailing address

78 E 900 N
Spanish Fork, UT 84660-1232
Phone (801) 794-4964

Other providers in Spanish Fork, UT

All providers in Spanish Fork, UT · Ophthalmologic Surgery Clinic/Center in Utah

Sources for this page

Verify at the official NPI Registry.