Individual
BERNARD OSCAR MARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 E ROOSEVELT ST # B, PHOENIX, AZ 85008-5036
(602) 740-7380
(602) 267-1760
Mailing address
723 W HARWELL RD, PHOENIX, AZ 85041-7908
(602) 740-7380
(602) 522-8507
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367749
AHCCCS
AZ
Enumeration date
12/30/2007
Last updated
01/16/2025
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