DR. Tylor Pravongviengkham, OD

NPI #1235880493 in Gilbert, Arizona

Provider Information

NPI Number
1235880493
Entity Type
Individual
Name
DR. Tylor Pravongviengkham, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jan 10, 2022
Last Updated
Feb 27, 2025

Practice Location

Address
4915 E BASELINE RD STE 115
State
Arizona
ZIP Code
85234-2966
Phone
(480) 279-4400

Specialties & Taxonomy Codes

Specialty
Optometrist

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