| NPI | 1538496294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J BRICELAND Owner/Physician 623-546-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: AZ 18851) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 19009) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |