Organization
TARA RANSDELL OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA RANSDELL OD (OWNER)
(623) 376-9070
Entity
Organization
Contact information
Practice address
7727 W DEER VALLEY RD, STE E200, PEORIA, AZ 85382-2116
(623) 376-9070
(623) 376-9079
Mailing address
21121 N 63RD DR, GLENDALE, AZ 85308-6349
(623) 328-7859
(623) 376-9079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1278
AZ
Other
Enumeration date
10/11/2006
Last updated
02/15/2013
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