2020 Image Fountain Hills

NPI 1245551464 - Optometrist - 152W00000X

NPI Details
NPI 1245551464
Enumeration Date 06/22/2010
Last Updated 11/04/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MYDA MYDA
Position DIRECTOR OF OPERATIONS
Phone (480) 816-0102
Fax
Practice Location
13125 N LA MONTANA DR
SUITE #1
FOUNTAIN HILLS AZ, 85268-3781, US
Phone (480) 816-0102
Fax
Business Location
13125 N LA MONTANA DR
SUITE #1
FOUNTAIN HILLS AZ, 85268-3781, US
Phone (480) 816-0102
Fax (480) 816-1336
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, 2020 Image Fountain Hills NPI is 1245551464, taxonomy code is 152W00000X 2020 Image Fountain Hills physically located at 13125 N La Montana Dr, Fountain Hills AZ, 85268-3781. NPI Number 1033115704 has the healthcare provider type.

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1245551464 NPI number is provided on an as is basis without warranty of any kind. 1245551464 is maintained by the National Plan & Provider Enumeration System. The contents of 2020 Image Fountain Hills are for informational purposes only.