Individual
BRENDAN QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7260 W BELL RD STE 5, GLENDALE, AZ 85308-8539
(623) 486-1888
Mailing address
7260 W BELL RD STE 5, GLENDALE, AZ 85308-8539
(623) 486-1888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002752
AZ
Other
Enumeration date
10/20/2023
Last updated
10/26/2023
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