Gino Terry Carmolli, OD
Optometrist in Fountain Hills, AZ. Individual provider (NPI-1).
NPI number1841352002
StatusActive
Last updated in NPPESJul 27, 2015
Details
- NPI
- 1841352002
- Entity type
- Individual (NPI-1)
- Name
- Gino Terry Carmolli
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2006
- Last updated
- Jul 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1410 | AZ | Yes |
Practice location
13125 N La Montana DrSuite #1
Fountain Hills, AZ 85268-3781
Phone 480-816-0102 · Fax 480-816-0102
Mailing address
15560 N Frank Lloyd Wright Blvd B2Scottsdale, AZ 85260-2020
Phone 480-661-8733
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