DR. Mark Lawrence Jaffe, O.D.

NPI #1093717373 in Glendale, Arizona

Provider Information

NPI Number: 1093717373
Entity Type: Individual
Name: DR. Mark Lawrence Jaffe, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 1, 2005
Last Updated: Jan 2, 2008

Practice Location

Address: 6666 W PEORIA AVE
Address 2: STE 109
City: Glendale
State: Arizona
ZIP Code: 85302-7032
Phone: (623) 979-8876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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