Individual
DR. BRIAN JOHN COURTRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
909
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24871
AVESIS NUMBER
AZ
01
—
410049678
RAILROAD MEDICARE #
AZ
01
—
4844460001
MEDICARE DMERC
AZ
05
—
757768
—
AZ
01
—
AZ0903430
BCBS UMBER
AZ
Enumeration date
01/16/2006
Last updated
03/30/2009
Update your record
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