Individual
DR. ALEXANDER ROUSSEV CHEMELEKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1175 S ARIZONA AVE, CHANDLER, AZ 85248-1504
(480) 726-0941
(480) 726-0943
Mailing address
7415 W CHERRY HILLS DR, PEORIA, AZ 85345-8795
(480) 726-0941
(480) 726-0943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44673
SPECTERA PROVIDER #
AZ
Enumeration date
02/01/2007
Last updated
07/08/2007
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