Individual
MATTHEW MCCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2255 W ORANGE GROVE RD APT 9201, TUCSON, AZ 85741-3156
(780) 898-2582
Mailing address
20000 N 57TH AVE RM D304, GLENDALE, AZ 85308-6840
(780) 898-2582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002608
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2022
Last updated
07/22/2022
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