Individual
SHALE LYNN DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 783-4386
Mailing address
937 N DOBSON RD, MESA, AZ 85201-7588
(480) 649-6100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002822
AZ
Other
Enumeration date
05/01/2024
Last updated
10/07/2025
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