Individual
JARRED PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4570 E CACTUS RD, PHOENIX, AZ 85032-7702
(602) 242-1105
Mailing address
19922 N 65TH AVE, GLENDALE, AZ 85308-7088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2220
AZ
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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