Individual
JEREMY J. VAN BUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1130 E MISSOURI AVE, STE 100, PHOENIX, AZ 85014-2718
(602) 995-1166
(602) 995-2390
Mailing address
1130 E MISSOURI AVE, STE 100, PHOENIX, AZ 85014-2718
(602) 995-1166
(602) 995-2390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41479
AZ
Other
Enumeration date
06/22/2006
Last updated
10/09/2012
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