Individual
DR. THOMAS JOSEPH STANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 WEST HOSPITAL WAY, U.S.P.H.S. INDIAN HOSPITAL, WHITERIVER, AZ 85941-0860
(928) 338-3620
(928) 338-3619
Mailing address
PO BOX 860, U.S.P.H.S. INDIAN HOSPITAL, WHITERIVER, AZ 85941-0860
(928) 338-3620
(928) 338-3619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
137
AK
152W00000X
Optometrist
Primary
548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618499
—
AZ
Enumeration date
09/05/2006
Last updated
07/08/2007
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