Organization
ARIZONA PEDIATRIC EYE SPECIALISTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M VON FLUE (CFO)
(480) 615-2070
Entity
Organization
Contact information
Practice address
1520 S DOBSON RD STE 202, MESA, AZ 85202-4726
(480) 835-0709
(480) 962-0523
Mailing address
PO BOX 16455, MESA, AZ 85211-6455
(480) 835-0709
(480) 962-0523
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
10/10/2012
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