Individual
STEPHANIE BURRUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1110 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 327-5677
(520) 547-2135
Mailing address
1110 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 260-2773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002516
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096085
—
AZ
Enumeration date
07/14/2021
Last updated
09/29/2022
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