Individual
SEAN NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1703 W BETHANY HOME RD STE C3, PHOENIX, AZ 85015
(602) 944-2444
Mailing address
1703 W BETHANY HOME RD STE C3, PHOENIX, AZ 85015-7066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003080
PA
Other
Enumeration date
07/15/2015
Last updated
06/03/2019
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