Individual
ANN BRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
115 W ROSE LN, PHOENIX, AZ 85013-1526
(602) 714-4176
Mailing address
115 W ROSE LN, PHOENIX, AZ 85013-1526
(602) 714-4176
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
896
AZ
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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