Most Relevant Information
Provider Data
| NPI Number: | 1003057894 |
| Provider Name: | RENEE A MCINTOSH O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 47865699934 |
Most Important Dates
| Enumeration Date: | 03/09/2009 |
| Last Updated: | 03/26/2013 |
Provider Practice Location
11820 S STATE ST
STE. 200
DRAPER
UT
840207133
Practice Location Phone/Fax
| Phone: | 8015680200 |
| Fax: | 8015630200 |
Provider Mailing Location
11820 S STATE ST
STE. 200
DRAPER
UT
840207133
Provider Mailing Phone/Fax
| Phone: | 8015680200 |
| Fax: | 8015630200 |