Individual
THOMAS AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13637 N TATUM BLVD, PHOENIX, AZ 85032-6463
(602) 652-0126
Mailing address
13637 N TATUM BLVD, PHOENIX, AZ 85032-6463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1716
AZ
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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