The Retina Group, Pllc

NPI 1215083506 - Ophthalmology - 207W00000X

NPI Details
NPI 1215083506
Enumeration Date 01/27/2007
Last Updated 10/13/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALYSSA ALYSSA
Position PLLC MEMBER
Phone (480) 898-3937
Fax
Practice Location
6262 E BROADWAY RD
STE 106
MESA AZ, 85206-6101, US
Phone (480) 898-3937
Fax
Business Location
6262 E BROADWAY RD
STE 106
MESA AZ, 85206-6101, US
Phone
Fax
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, The Retina Group, Pllc NPI is 1215083506, taxonomy code is 207W00000X The Retina Group, Pllc physically located at 6262 E Broadway Rd, Mesa AZ, 85206-6101. NPI Number 1033115704 has the healthcare provider type.

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1215083506 NPI number is provided on an as is basis without warranty of any kind. 1215083506 is maintained by the National Plan & Provider Enumeration System. The contents of The Retina Group, Pllc are for informational purposes only.