Individual
BRANT OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6131 E SOUTHERN AVE, MESA, AZ 85206-3732
(480) 980-7174
(480) 985-9082
Mailing address
6131 E SOUTHERN AVE, MESA, AZ 85206-3732
(480) 980-7174
(480) 985-9082
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000445
AZ
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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