Individual
MR. GARY LOUIS ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1450 W SOUTHERN AVE, SUITE #8, MESA, AZ 85202-4860
(480) 835-9669
(480) 835-7962
Mailing address
1450 W SOUTHERN AVE, SUITE #8, MESA, AZ 85202-4860
(480) 835-9669
(480) 835-7962
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
358
AZ
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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