Individual
JESSE JUNTTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1703 W BETHANY HOME RD STE C3, PHOENIX, AZ 85015-7066
(602) 944-2444
Mailing address
7501 E MCDOWELL RD APT 1007, SCOTTSDALE, AZ 85257-3553
(906) 231-1160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002742
AZ
Other
Enumeration date
08/28/2023
Last updated
09/06/2023
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