Individual
AMMON ALAN BAYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3383 W MAIN ST, THATCHER, AZ 85552-5682
(928) 792-4455
Mailing address
7962 W TINSLEY PL, PIMA, AZ 85543-0498
(480) 822-9862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002581
AZ
Other
Enumeration date
06/03/2022
Last updated
06/05/2022
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