Individual
DR. RANDY DAVID WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
515 W BUCKEYE RD STE 104, PHOENIX, AZ 85003-3699
(602) 207-8196
Mailing address
515 W BUCKEYE RD STE 104, PHOENIX, AZ 85003-3699
(602) 207-8196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002453
AZ
Other
Enumeration date
06/10/2020
Last updated
08/11/2020
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