Individual
DR. JOHN DAVID FORNARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
199 S CANDY LN, SUITE 2A, COTTONWOOD, AZ 86326-4183
(928) 634-2883
(928) 634-0110
Mailing address
199 S CANDY LN, SUITE 2A, COTTONWOOD, AZ 86326-4183
(928) 634-2883
(928) 634-0110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
519
AZ
Other
Enumeration date
09/28/2006
Last updated
11/10/2009
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