Individual
RHETT MELVIN BURGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1923 MCCULLOCH BLVD #102, LAKE HAVASU CITY, AZ 86403-6722
(928) 854-3555
(928) 854-4544
Mailing address
2525 TALISMAN LN, LAKE HAVASU CITY, AZ 86406-8267
(928) 505-5843
(928) 854-9338
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1060
AZ
Other
Enumeration date
05/27/2006
Last updated
02/15/2017
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