Organization
GLOBAL VISION SOURCES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAKUNLE SOWUNMI (DIRECTOR)
(202) 341-1240
Entity
Organization
Contact information
Practice address
7500 E DEER VALLEY RD, UNIT 155, SCOTTSDALE, AZ 85255-4814
(301) 356-2656
Mailing address
7500 E DEER VALLEY RD, UNIT 155, SCOTTSDALE, AZ 85255-4814
(301) 356-2656
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1978
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978
—
AZ
Enumeration date
04/03/2017
Last updated
04/03/2017
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