Individual
RYAN SCOTT SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1240 S SIGNAL BUTTE RD STE 103, MESA, AZ 85209-1603
(480) 761-2930
(480) 761-2931
Mailing address
3917 E KESLER LN, GILBERT, AZ 85295-2782
(480) 694-4295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002632
AZ
Other
Enumeration date
04/06/2022
Last updated
10/26/2022
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