Organization · NPI-2

Allan M. Anhalt

Technician/Technologist, Ocularist · Tucson, AZ

NPI number1730359688
StatusActive
Last updated in NPPESJan 15, 2013

Details

NPI
1730359688
Entity type
Organization (NPI-2)
Legal business name
Allan M. Anhalt
Organization subpart
No
Enumeration date
Mar 6, 2008
Last updated
Jan 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes

Other names

  • Personaleyes Prosthetics (Doing Business As)

Practice location

2122 N Craycroft Rd
Suite 118
Tucson, AZ 85712-2849

Phone 520-325-3121 · Fax 602-258-1593

Mailing address

333 E Virginia Ave
Suite 105
Phoenix, AZ 85004-1206

Phone 602-258-3620 · Fax 602-258-1593

Authorized official

Allan Michael Anhalt
Owner
6022583620

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