Individual
BRIAN ZEMBOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
610 E BASELINE RD STE C3, PHOENIX, AZ 85042
(602) 269-9771
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2651
(480) 961-1865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6421
OH
152W00000X
Optometrist
Primary
OPT-002257
AZ
Other
Enumeration date
02/23/2015
Last updated
07/26/2018
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