J Bruce Stadwiser, M.D.
Ophthalmology in Phoenix, AZ. Individual provider (NPI-1).
NPI number1265415558
StatusActive
Last updated in NPPESNov 27, 2007
Details
- NPI
- 1265415558
- Entity type
- Individual (NPI-1)
- Name
- J Bruce Stadwiser
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Last updated
- Nov 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 6395 | AZ | Yes |
Practice location
500 W Thomas RdSuite # 250
Phoenix, AZ 85013-4224
Phone 602-263-9345 · Fax 602-263-0778
Mailing address
2327 E Carol AvePhoenix, AZ 85028-4614
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