Individual
DR. ERIC STEVEN BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
16020 N 35TH AVE STE 2, PHOENIX, AZ 85053-3823
(602) 547-3255
Mailing address
16020 N 35TH AVE STE 2, PHOENIX, AZ 85053-3823
(602) 547-3255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2181
AZ
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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