Organization
DUSTIN VERMEULEN OD & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN NICE (BILLING MANAGER)
(480) 969-4040
Entity
Organization
Contact information
Practice address
4824 E BASELINE RD, STE 140, MESA, AZ 85206-4676
(480) 969-4040
(480) 830-1402
Mailing address
4824 E BASELINE RD, STE 140, MESA, AZ 85206-4676
(480) 969-4040
(480) 830-1402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1303
AZ
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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