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Individual

CODY D QUARNBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
7245 E OSBORN RD, SUITE 4, SCOTTSDALE, AZ 85251-6443
(480) 994-5012
(480) 990-7364
Mailing address
7245 E OSBORN RD, SUITE 4, SCOTTSDALE, AZ 85251-6443
(480) 994-5012
(480) 990-7364

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1457
AZ
207W00000X
Ophthalmology Physician
1457
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230187
AZ
Enumeration date
11/13/2006
Last updated
01/17/2020
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