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Individual

DR. TRACY JON MONTIERTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1502 S 1ST AVE STE 8, SAFFORD, AZ 85546-2143
(928) 428-4360
(928) 424-4361
Mailing address
1502 S 1ST AVE STE 8, SAFFORD, AZ 85546-2143
(928) 428-4360
(928) 424-4361

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
776
AZ

Other

Enumeration date
02/23/2007
Last updated
05/16/2013
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