Individual
DR. ERIC BRADFORD VANAUSDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15215 S 48TH ST STE 180, PHOENIX, AZ 85044-9140
(480) 706-3937
Mailing address
15215 S 48TH ST STE 180, PHOENIX, AZ 85044-9140
(480) 706-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002261
AZ
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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