Individual
DR. ALETA BELINDA GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
16020 N 35TH AVE, PHOENIX, AZ 85053-3822
(602) 547-3255
Mailing address
POST OFFICE BOX 11585, GLENDALE, AZ 85318
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
AZ 835
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860840518
—
AZ
01
—
Z103102
GROUP ID #
AZ
Enumeration date
01/30/2006
Last updated
10/02/2014
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