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Individual

TYLER BOYACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
825 S 20TH AVE, SAFFORD, AZ 85546-3317
(928) 428-6930
(602) 508-4830
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 955-1000
(602) 508-4830

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002496
AZ

Other

Enumeration date
03/22/2021
Last updated
08/19/2021
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