Mark Peller O.D.

NPI 1013905462 - Optometrist - 152W00000X

NPI Details
NPI 1013905462
Gender Male
Enumeration Date 10/10/2005
Last Updated 06/26/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1025 S POWER RD
MESA AZ, 85206-5240, US
Phone (480) 325-6277
Fax (480) 325-6278
Business Location
220 N MCKEMY AVE
CHANDLER AZ, 85226-2654, US
Phone (480) 961-1865
Fax (480) 961-4605
Toxanomy
Taxonomy Code 152W00000X
License State Arizona
License Number 698
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According to our database, Dr. Mark Peller O.D. NPI is 1013905462, taxonomy code is 152W00000X and license number is 698, license state is located at Arizona. Mark Peller O.D. physically located at 1025 S Power Rd, Mesa AZ, 85206-5240. NPI Number Mark Peller O.D. has the Individual type.

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1013905462 NPI number is provided on an as is basis without warranty of any kind. 1013905462 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Peller O.D. are for informational purposes only.