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Individual

DR. MATTHEW BILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
350 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4826
(928) 779-0500
(602) 508-4830
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 955-1000
(602) 508-4830

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3163
OK
152W00000X
Optometrist
Primary
OPT-002663
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158315
AZ
Enumeration date
03/24/2022
Last updated
03/27/2023
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