Individual
DR. TINA COOLEY STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1780 E BOSTON ST, STE 101, GILBERT, AZ 85295-6244
(480) 813-7050
(480) 813-3630
Mailing address
1780 E BOSTON ST STE 101, GILBERT, AZ 85295-6246
(480) 813-7050
(480) 813-3630
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
882
AZ
Other
Enumeration date
02/21/2007
Last updated
08/23/2021
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