Organization
VERVE OPHTHALMIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR MCMULLEN O.D. (DOCTOR)
(480) 969-4040
Entity
Organization
Contact information
Practice address
4824 E BASELINE RD STE 140, MESA, AZ 85206-4680
(480) 969-4040
(480) 830-9202
Mailing address
4824 E BASELINE ROAD, SUITE 140, MESA, AZ 85206
(480) 969-4040
(480) 830-9202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1584
AZ
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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