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East Valley Glaucoma Inc
Glaucoma Specialist (Ophthalmology) Physician in Mesa, Arizona
NPI 1114465010

East Valley Glaucoma Inc is a Glaucoma Specialist (Ophthalmology) Physician based in Mesa, AZ and is specialized in Glaucoma Specialist. East Valley Glaucoma Inc practices in Mesa, AZ. The NPI Number for East Valley Glaucoma Inc is 1114465010 and holds a License No. 15705 (Arizona).

The current practice location address for East Valley Glaucoma Inc is 6402 E Superstition Springs Blvd Ste 104, Mesa, AZ and can be reached out via phone at 480-981-3317 and via fax at 480-981-5308. You can also correspond with East Valley Glaucoma Inc through the mailing address at 6402 E SUPERSTITION SPRINGS BLVD STE 209, MESA, AZ - 85206-4393 (mailing address contact number: 480-981-3317).

Location: 6402 E Superstition Springs Blvd Ste 104, Mesa, AZ, 85206-4393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114465010
Provider Name
East Valley Glaucoma Inc
Credential
Provider Entity Type
Organization
Address
6402 E Superstition Springs Blvd Ste 104, Mesa, AZ, 85206-4393
Phone Number
480-981-3317
Fax Number
480-981-5308
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z202876 01 AZ MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
6402 E Superstition Springs Blvd Ste 104
City
Mesa
State
Arizona
Zip
85206-4391
Phone Number
480-981-3317
Fax Number
480-981-5308
person
Provider Business Mailing Address Details
Address
6402 E Superstition Springs Blvd Ste 104
City
Mesa
State
Arizona
Zip
85206-4391
Phone Number
480-981-3317
Fax Number
480-981-5308
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15705 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Glaucoma Specialist
Taxonomy
207WX0009X
License No.
15705 (Arizona)
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
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