RICHARD DALLIN BOARDMAN
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1346764511- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 810 S 100 W STE A, LOGAN, UT, 843216093
- Phone
- (435) 787-7200
- Fax
- (435) 787-7203
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Optometrist
Primary License: ID #ODP-100444