Organization
NETRA EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIRIPURASUNDARY PUGAZHENDHI (PRACTITIONER)
(520) 396-8040
Entity
Organization
Contact information
Practice address
1241 N WILMONT ROAD, TUCSON, AZ 85712
(520) 392-0585
Mailing address
1241 N WILMONT ROAD, TUCSON, AZ 85712-6462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46811
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
930958
—
AZ
Enumeration date
11/21/2016
Last updated
11/21/2016
Update your record
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