Organization
JONATHAN E WOLD OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN E WOLD OD (PRESIDENT)
(480) 807-0288
Entity
Organization
Contact information
Practice address
2680 S VAL VISTA DR, 111, GILBERT, AZ 85295-2152
(480) 807-0288
(480) 290-7199
Mailing address
2680 S VAL VISTA DR, 111, GILBERT, AZ 85295-2152
(480) 807-0288
(480) 290-7199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1307
AZ
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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