Organization
PLACIDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L SCHAFFER M.D. (OWNER)
(623) 584-9295
Entity
Organization
Contact information
Practice address
13624 W CAMINO DEL SOL STE 200, SUN CITY WEST, AZ 85375-3401
(623) 584-9295
(623) 546-2399
Mailing address
13624 W CAMINO DEL SOL STE 200, SUN CITY WEST, AZ 85375-3401
(623) 584-9295
(623) 546-2399
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
22233
AZ
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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