Individual
DR. REBECCA PASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1505 S YALE ST, FLAGSTAFF, AZ 86001-6330
(928) 779-5600
Mailing address
1505 S YALE ST, FLAGSTAFF, AZ 86001-6330
(928) 779-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1993
AZ
152W00000X
Optometrist
8397T
TX
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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