Organization
JAMES K MCPHELAN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN FULLER O.D. (VICE PRESIDENT)
(602) 953-3850
Entity
Organization
Contact information
Practice address
16429 N TATUM BLVD, PHOENIX, AZ 85032-3458
(480) 889-6044
Mailing address
16429 N TATUM BLVD, PHOENIX, AZ 85032-3458
(480) 889-6044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1020
AZ
Other
Enumeration date
04/23/2008
Last updated
05/03/2016
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