NPI | 1548465602 |
---|---|
Doing Business As | GAIL BASS OD |
Entity Type | Organization |
Authorized Contact | GAIL BASS DERSCHEID President Owner 480-620-5061 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ AZ824) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2012-12-21 |