Arizona Retina Associates, PLLC
Ophthalmology in Mesa, AZ. Organization (NPI-2).
NPI number1891241964
StatusActive
Last updated in NPPESAug 1, 2018
Details
- NPI
- 1891241964
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Retina Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2016
- Last updated
- Aug 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 48939 | AZ | Yes |
Practice location
6262 E Broadway Rd Ste 106Mesa, AZ 85206-6101
Phone 480-482-7100 · Fax 480-566-0280
Mailing address
2242 E Glencove StMesa, AZ 85213-4613
Phone 480-482-7100 · Fax 480-566-0280
Other practice locations
140 S Power Rd Ste 105
Mesa, AZ 85206-5297
Mesa, AZ 85206-5297
Phone 480-482-7100 · Fax 480-566-0280
Authorized official
Ronald Hobbs
Physician/Owner
4804827100
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