Individual
DR. FREDERICK CHARLES BUENSUCESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 N ESTRELLA PKWY, GOODYEAR, AZ 85338-4135
(623) 980-5496
Mailing address
18277 W ESTES WAY, GOODYEAR, AZ 85338-9636
(623) 980-5496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1352
AZ
Other
Enumeration date
07/23/2006
Last updated
09/30/2011
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