Individual
TYSEN CHARLES BRINGHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 598-7488
(602) 231-6215
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 598-7488
(602) 231-6215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002604
AZ
Other
Enumeration date
04/25/2022
Last updated
07/16/2022
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