Organization
PHOENIX OPHTHALMOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY VANBUREN MD (MD)
(602) 995-1166
Entity
Organization
Contact information
Practice address
1130 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2712
(602) 995-1166
(602) 995-1166
Mailing address
1130 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2712
(602) 995-1166
(602) 995-2390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41479
AZ
Other
Enumeration date
06/25/2006
Last updated
07/21/2022
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