NPI | 1265614937 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES L SCHAFFER Owner 623-584-9295 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: AZ 22233) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2007-12-04 |