Organization
ALLAN M. ANHALT
Active
Other names
Personaleyes Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN MICHAEL ANHALT B.C.O. (OWNER)
(602) 258-3620
Entity
Organization
Contact information
Practice address
2122 N CRAYCROFT RD, SUITE 118, TUCSON, AZ 85712-2849
(520) 325-3121
(602) 258-1593
Mailing address
333 E VIRGINIA AVE, SUITE 105, PHOENIX, AZ 85004-1206
(602) 258-3620
(602) 258-1593
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351487
—
AZ
Enumeration date
03/06/2008
Last updated
01/15/2013
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