Organization
PHOENICIAN EYE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ACHAL JAYESH PATEL MD (PHYSICIAN)
(734) 678-1598
Entity
Organization
Contact information
Practice address
15600 N BLACK CANYON HWY # C-102, PHOENIX, AZ 85053-4055
(734) 678-1598
Mailing address
15600 N BLACK CANYON HWY # C-102, PHOENIX, AZ 85053-4055
(734) 678-1598
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390355
—
AZ
Enumeration date
07/27/2020
Last updated
08/28/2020
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