Individual
GINO TERRY CARMOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13125 N LA MONTANA DR, SUITE #1, FOUNTAIN HILLS, AZ 85268-3781
(480) 816-0102
(480) 816-0102
Mailing address
15560 N FRANK LLOYD WRIGHT BLVD B2, SCOTTSDALE, AZ 85260-2020
(480) 661-8733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1410
AZ
Other
Enumeration date
12/14/2006
Last updated
07/27/2015
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