| NPI | 1770441024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER RAYMOND SHUSKO Owner 623-307-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-10-14 |