Affiliated Ophthalmic Svc

NPI #1184769028 in Phoenix, Arizona

Provider Information

NPI Number: 1184769028
Entity Type: Organization
Organization Name: Affiliated Ophthalmic Svc
Primary Specialty: Ophthalmology
Enumeration Date: Feb 20, 2007
Last Updated: Nov 19, 2007

Practice Location

Address: 500 W THOMAS RD
Address 2: SUITE #250
City: Phoenix
State: Arizona
ZIP Code: 85013-4224
Phone: (602) 263-9345

Authorized Official

Name: DR. E FREDRICK BLOEMKER, MD
Title: PRESIDENT
Phone: (602) 955-5104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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