Individual
ANDREW MICHAEL MACKELPRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4386 N ORACLE RD, # 100, TUCSON, AZ 85705-1656
(520) 887-4435
Mailing address
220 N MCKEMY AVE, APT 10102, CHANDLER, AZ 85226-2654
(480) 835-4472
(480) 893-8172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2130
AZ
Other
Enumeration date
07/05/2016
Last updated
07/11/2016
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