Individual
SCOTT FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 UNIVERSITY BLVD NE STE C, 433 PANAMERICAN FREEWAY SUITE B, ALBUQUERQUE, NM 87102-1724
(505) 272-2553
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7391914-8909
UT
Other
Enumeration date
08/08/2009
Last updated
03/22/2017
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