NPI | 1649451204 |
---|---|
Former Legal Business Name | PETER LANGENFELD OD |
Entity Type | Organization |
Authorized Contact | PETER LANGENFELD Proprietor 520-514-2029 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1200) |
Enumeration Date | 2007-11-23 |
Last Update Date | 2007-11-26 |