East Valley Glaucoma Inc Valid NPI

Organization · Glaucoma Specialist (Ophthalmology) Physician · Mesa, AZ

NPI

1114465010

Type

Organization (Type 2)

Primary specialty

Glaucoma Specialist (Ophthalmology) Physician (Ophthalmology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207WX0009X

License number

15705 (AZ)

Enumerated

2017-02-10

Last updated

2021-02-24