Individual
TAYLOR BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 537-6000
Mailing address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002801
AZ
Other
Enumeration date
04/04/2024
Last updated
06/26/2024
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