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Individual

JOEL MARK MONTEMAYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ABO,NCLE,LDO

Contact information

Practice address
1725 W HUNT HWY, SAN TAN VALLEY, AZ 85143-5203
(480) 358-4346
Mailing address
33559 N NORTH BUTTE DR, QUEEN CREEK, AZ 85144-6388

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
2369I
AZ
207W00000X
Ophthalmology Physician
Primary
2369I
AZ

Other

Enumeration date
01/20/2025
Last updated
04/04/2025
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