James K Mcphelan Od PC

NPI #1043485840 in Phoenix, Arizona

Provider Information

NPI Number: 1043485840
Entity Type: Organization
Organization Name: James K Mcphelan Od PC
Primary Specialty: Optometrist
Enumeration Date: Apr 23, 2008
Last Updated: May 3, 2016

Practice Location

Address: 16429 N TATUM BLVD
City: Phoenix
State: Arizona
ZIP Code: 85032-3458
Phone: (480) 889-6044

Authorized Official

Name: DR. BRYAN FULLER, O.D.
Title: VICE PRESIDENT
Phone: (602) 953-3850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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