Individual
QUANG VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 W ELLIOT RD, TEMPE, AZ 85284-1102
(480) 345-9559
Mailing address
1380 W ELLIOT RD, TEMPE, AZ 85284-1102
(480) 345-9559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T1272
AZ
Other
Enumeration date
11/18/2006
Last updated
07/08/2007
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