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Individual

DR. JOE FRANK THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
483 W SEED FARM RD, SACATON, AZ 85147
(602) 528-7100
Mailing address
PO BOX 38, SACATON, AZ 85147-0001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2127
AZ
152W00000X
Optometrist
OPT.0003154
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2127
ARIZONA STATE LICENSE
AZ
01
OPT.00031554
COLORADO STATE OPTOMETRY LICENSE
CO
Enumeration date
07/23/2015
Last updated
09/08/2016
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