Individual
MR. SHERWIN MARK STRADLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2040 W BETHANY HOME RD, SUITE 3, PHOENIX, AZ 85015-2445
(602) 242-1950
Mailing address
2606 N 110TH DR, AVONDALE, AZ 85323-5892
(602) 242-3486
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
277
AZ
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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