Sun Lake Optical
NPI #1639325962 in Sun Lakes, Arizona
Provider Information
- NPI Number
- 1639325962
- Entity Type
- Organization
- Organization Name
- Sun Lake Optical
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 18, 2008
- Last Updated
- Aug 18, 2008
Practice Location
Authorized Official
- Name
- DR. PAUL M PETELIN JR., M.D.
- Title
- PRESIDENT
- Phone
- (480) 895-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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