Individual
ROGER WALDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10000 W MCDOWELL RD, AVONDALE, AZ 85323-4803
(923) 907-5666
Mailing address
3806 E SEQUOIA TRL, PHOENIX, AZ 85044-3013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
505
AZ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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