Nathan Broschinsky, O.D. Valid NPI

Individual provider · Optometrist · Smithfield, UT

NPI

1467894998

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

ODP-100288 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-07-25

Last updated

2017-04-27