Individual
DUSTIN VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4824 E BASELINE RD, SUITE 140, MESA, AZ 85206-4676
(480) 969-4040
(480) 830-9202
Mailing address
4824 E BASELINE RD, SUITE 140, MESA, AZ 85206-4676
(480) 969-4040
(480) 830-9202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1303
AZ
152W00000X
Optometrist
948
NV
Other
Enumeration date
12/20/2006
Last updated
01/18/2018
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