Individual
DR. ROGER N GROSSBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14455 W GRAND AVE, SUITE 102, SURPRISE, AZ 85374-7196
(623) 546-2080
Mailing address
17492 N HORSESHOE DR, SURPRISE, AZ 85374-6238
(623) 975-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1287
AZ
Other
Enumeration date
06/07/2006
Last updated
10/17/2007
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