Individual
DR. BRANDON ANTHONY BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13371 W GRAND AVE STE 102, SURPRISE, AZ 85374-7063
(623) 556-8038
Mailing address
13371 W GRAND AVE STE 102, SURPRISE, AZ 85374-7063
(623) 556-8038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT.0003513
CO
152W00000X
Optometrist
Primary
OPT.002418
AZ
Other
Enumeration date
07/23/2019
Last updated
07/22/2020
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