| |
2501 N 32nd St, Phoenix, AZ 85008-2104 | |
(602) 957-6799 | |
(602) 957-0172 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2501 N 32nd St, Phoenix, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265486872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Arizona) | Secondary |
207W00000X | Ophthalmology | (Arizona) | Primary |
Mailing Address | Practice Location Address |
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2501 N 32nd St, Phoenix, AZ 85008-2104 Ph: (602) 957-6799 | 2501 N 32nd St, Phoenix, AZ 85008-2104 Ph: (602) 957-6799 |