Organization
EAST VALLEY GLAUCOMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C SPURNY M.D. (OWNER)
(480) 981-3317
Entity
Organization
Contact information
Practice address
6402 E SUPERSTITION SPRINGS BLVD STE 104, MESA, AZ 85206-4391
(480) 981-3317
(480) 981-5308
Mailing address
6402 E SUPERSTITION SPRINGS BLVD STE 209, MESA, AZ 85206-4393
(480) 981-3317
(480) 981-5308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15705
AZ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
15705
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z202876
MEDICARE PIN
AZ
Enumeration date
02/10/2017
Last updated
02/24/2021
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