The Retina Group, Pllc

NPI #1215083506 in Mesa, Arizona

Provider Information

NPI Number: 1215083506
Entity Type: Organization
Organization Name: The Retina Group, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Jan 27, 2007
Last Updated: Oct 13, 2010

Practice Location

Address: 6262 E BROADWAY RD
Address 2: STE 106
City: Mesa
State: Arizona
ZIP Code: 85206-6101
Phone: (480) 898-3937

Authorized Official

Name: DR. ALYSSA KIM
Title: PLLC MEMBER
Phone: (480) 898-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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