Individual
BRIAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1826 S SIGNAL BUTTE RD STE 101, MESA, AZ 85209-2731
(480) 354-9504
Mailing address
435 N WILLIAMS ST, CHANDLER, AZ 85225-8809
(480) 789-3876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002814
AZ
Other
Enumeration date
05/01/2024
Last updated
07/29/2024
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