Dr. Brent L Hadlock, O.D.
Optometrist in Orem, UT. Individual provider (NPI-1).
NPI number1578648564
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1578648564
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent L Hadlock
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 110079-9934 | UT | Yes |
Practice location
1448 S State StOrem, UT 84097-7704
Phone 801-224-0451 · Fax 801-224-0452
Mailing address
1448 S State StOrem, UT 84097-7704
Phone 801-224-0451 · Fax 801-224-0452
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