Individual
STEVEN CODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4650 N US HIGHWAY 89, SP C 2, FLAGSTAFF, AZ 86004-2400
(928) 526-1911
(928) 526-1503
Mailing address
11103 WEST AVE, STE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1636
AZ
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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