Individual
VERNE DAGENAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
182 W 32ND ST, YUMA, AZ 85364-8127
(928) 726-7757
(928) 726-2239
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
(480) 961-4605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1724
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481197
—
AZ
Enumeration date
12/20/2006
Last updated
12/03/2015
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