Individual
DR. JEFFREY L GIRARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
18325 N ALLIED WAY, SUITE 100, PHOENIX, AZ 85054-3105
(602) 467-4966
(480) 419-5401
Mailing address
18325 N ALLIED WAY, SUITE 100, PHOENIX, AZ 85054-3105
(602) 467-4966
(480) 419-5401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
863
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368789
—
AZ
Enumeration date
09/12/2005
Last updated
06/23/2010
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