Individual
MICHAEL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4760 E THUNDERBIRD RD, SUITE 102, PHOENIX, AZ 85032-5589
(602) 569-8777
(602) 569-8782
Mailing address
4760 E THUNDERBIRD RD, SUITE 102, PHOENIX, AZ 85032-5589
(602) 569-8777
(602) 569-8782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1772
AZ
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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