Individual
DR. PRAVIN U DUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 E MISSOURI AVE, PHOENIX, AZ 85014-2709
(602) 222-2221
(602) 266-2044
Mailing address
PO BOX 32530, PHOENIX, AZ 85064-2530
(602) 265-2695
(602) 265-5077
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22210
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
22210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159865
—
AZ
Enumeration date
08/10/2005
Last updated
05/21/2020
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