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Individual

MATTHEW PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1055 S STAPLEY DR, MESA, AZ 85204-5013
(480) 833-9100
(480) 833-6000
Mailing address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-9533

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1627
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1627
AZ LICENSE NUMBER
AZ
Enumeration date
07/21/2008
Last updated
07/21/2008
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