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Organization

CENTRAL ARIZONA EYE CLINIC P.C.

Active
Other names
Rummel optical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM DAVID RUMMEL M.D. (PRESIDENT/OWNER)
(928) 772-6246
Entity
Organization

Contact information

Practice address
2517 N GREAT WESTERN DR, SUITE I, PRESCOTT VALLEY, AZ 86314-2597
(928) 772-6246
(928) 772-9329
Mailing address
2517 N GREAT WESTERN DR, SUITE I, PRESCOTT VALLEY, AZ 86314-2597
(928) 772-6246
(928) 772-9329

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
193588
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
305583
AZ
Enumeration date
01/18/2008
Last updated
08/01/2016
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