Individual
BETHANIE H DEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8877 W UNION HILLS DR STE 460, PEORIA, AZ 85382-8003
(623) 256-0400
(623) 376-6800
Mailing address
8877 W UNION HILLS DR STE 460, PEORIA, AZ 85382-8003
(623) 256-0400
(623) 376-6800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12477T
CA
152W00000X
Optometrist
Primary
AZ1300
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084323
—
AZ
Enumeration date
09/19/2005
Last updated
05/16/2013
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