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Organization

CAPELLA EYECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HA ANH PHAM-JIBBEN OD (DOCTOR)
(480) 656-2111
Entity
Organization

Contact information

Practice address
12625 N SAGUARO BLVD, SUITE 106, FOUNTAIN HILLS, AZ 85268-4183
(480) 656-2111
(480) 621-8879
Mailing address
12625 N SAGUARO BLVD, SUITE 106, FOUNTAIN HILLS, AZ 85268-4183
(480) 656-2111
(480) 621-8879

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1466
AZ

Other

Enumeration date
11/15/2012
Last updated
03/26/2014
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