NPI | 1568801199 |
---|---|
Other Name | STAGNER EYE CENTER |
Entity Type | Organization |
Authorized Contact | MICHELLE RENEE SNOWDEN Office Manager 928-753-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AZ 24627) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2013-06-17 |